Individual provider Active NPI

Shanda Hill Clayton, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1114468832
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP003610 Issued in GA
Practice address
275 Collier Rd NW Ste 100C
Atlanta, GA 30309-1700
Phone
(404) 355-0320
Fax
(404) 351-0909
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20840 SC
Family Nurse Practitioner 363LF0000X GAA-NP003610 GA Primary

Addresses

Primary practice location

275 Collier Rd NW Ste 100C
Atlanta, GA 30309-1700

Mailing address

275 Collier Rd NW Ste 100C
Atlanta, GA 30309-1700
Phone (404) 355-0320

Other identifiers 1

IdentifierTypeStateIssuer
NP4416MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170602001477 SC Practitioner - Nurse Practitioner 8527335124 Reassigns benefits to 1 organization
I20260320001615 GA Practitioner - Nurse Practitioner 8527335124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women'S Heathcare Specialists, LLCGroup PAC ID 0345246021, 46 clinicians

Practice addresses (Care Compare)

275 Collier NWRD
100B
Atlanta, GA 30309-1700
Phone (404) 352-3656

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP003610GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Mar 20, 2017 Accepting new patients
Atlanta Women'S Heathcare Specialists, LLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

275 Collier Rd NW
Ste 100B
Atlanta, GA 30309
Phone (404) 352-1235

275 Collier Rd NW
Ste 100C
Atlanta, GA 30309
Phone (404) 355-0320

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

1228 Harden St
Ste B
Columbia, SC 29204
Phone (803) 744-0540

1228 Harden St
Columbia, SC 29204
Phone (803) 744-0540

3800 N Main St
Ste B
Columbia, SC 29203
Phone (803) 705-3172

2117 Gervais St
Columbia, SC 29204
Phone (803) 744-0540

3041 Old Eastover Rd
Eastover, SC 29044
Phone (803) 353-8741

9023 Garners Ferry Rd
Hopkins, SC 29061
Phone (803) 978-1848

500 N 12th St
West Columbia, SC 29169
Phone (803) 217-0415

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1114468832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 100C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091700",
            "telephone_number": "404-355-0320",
            "fax_number": "404-351-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 100C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091700",
            "telephone_number": "404-355-0320",
            "fax_number": "404-351-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "SHANDA",
        "middle_name": "HILL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20840",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4416",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.