Individual provider Active NPI

Shalonna Stewart, FNP-C

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1114311297
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN189558 Issued in GA
Practice address
950 Laney Walker Blvd
Augusta, GA 30901-2960
Phone
(706) 790-2587
NPI assigned
Mar 26, 2015
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN189558 GA Primary

Addresses

Primary practice location

950 Laney Walker Blvd
Augusta, GA 30901-2960

Mailing address

950 Laney Walker Blvd
Augusta, GA 30901-2960
Phone (706) 667-4296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN189558GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins County Health Department CurrentSince Feb 4, 2023 Accepting new patients
Glascock County Board of Health Past Accepting new patients
Wilkes County Board of Health PastSince Feb 4, 2023 Accepting new patients
Columbia County Board of Health PastSince Oct 1, 2021 Accepting new patients
Taliaferro County Board of Health Past Accepting new patients
Warren County Board of Health PastSince Apr 12, 2023 Accepting new patients

Locations

176 N Peachtree St
Lincolnton, GA 30817
Phone (706) 359-3154

709 Virginia Ave
Millen, GA 30442
Phone (478) 982-2811

307 Greenway St
Thomson, GA 30824
Phone (706) 535-1740

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1114311297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012960",
            "telephone_number": "706-667-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012960",
            "telephone_number": "706-790-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SHALONNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.