Active NPI
Shalonna Stewart, FNP-C
- Family Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN189558
- Practice address
- 950 Laney Walker Blvd
Augusta, GA 30901-2960 - Phone
- (706) 790-2587
- NPI assigned
- Mar 26, 2015
- Last updated
- Feb 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN189558 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins County Health Department | Current | Accepting new patients | |
| Glascock County Board of Health | Past | Accepting new patients | |
| Wilkes County Board of Health | Past | Accepting new patients | |
| Columbia County Board of Health | Past | Accepting new patients | |
| Taliaferro County Board of Health | Past | Accepting new patients | |
| Warren County Board of Health | Past | 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.
-
- Public Health or Welfare Agency
- Millen, GA
- NPI 1255384327
-
dba Columbia County Health Deppartment
- Public Health or Welfare Agency
- Grovetown, GA
- NPI 1669422598
-
dba Glascock County Health Deartment
- Public Health or Welfare Agency
- Gibson, GA
- NPI 1083665285
-
dba Taliaferro County Health Department
- Public Health or Welfare Agency
- Crawfordville, GA
- NPI 1982655775
-
dba Warren County Health Department
- Public Health or Welfare Agency
- Warrenton, GA
- NPI 1992756514
-
dba Wilkes County Health Department
- Public Health or Welfare Agency
- Washington, GA
- NPI 1336190958
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.