Active NPI
Sheena Rene Gonzalez, CPNP-PC
- Pediatric Nurse Practitioner
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN-NP246497
- Practice address
- 706 Dixie St Ste 220
Carrollton, GA 30117-3889 - Phone
- (770) 812-8825
- Fax
- (770) 812-5910
- NPI assigned
- Feb 6, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN-NP246497 | GA | Primary |
Addresses
Primary practice location
706 Dixie St Ste 220
Carrollton, GA 30117-3889
Mailing address
706 Dixie St Ste 220
Carrollton, GA 30117-3889
Phone (770) 812-8825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP246497 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Current | Accepting new patients | |
| TMC Immediate Care, Inc | Current | Accepting new patients | |
| Medcura Health, Inc. | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Medcura Health, Inc. | Current | Accepting new patients | |
| Medcura Health, Inc. | Past | Accepting new patients | |
| TMC Children'S Healthcare of West Georgia | Past | Accepting new patients |
Locations
1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445
100 Greenway Blvd
Fl 2
Carrollton, GA 30117
Phone (770) 838-8710
706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825
706 Dixie St
Ste 210
Carrollton, GA 30117
Phone (770) 812-8640
1706 Candler Rd
Decatur, GA 30032
2162 Second Ave
Decatur, GA 30032
5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965
770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658
101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Stone Mountain, GA
- NPI 1417011487
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- Urgent Care Clinic/Center
- Villa Rica, GA
- NPI 1386708097
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1811761448
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Urgent Care Clinic/Center
- Lewiston, ME
- NPI 1063136786
-
- Federally Qualified Health Center (FQHC)
- Decatur, GA
- NPI 1790821023
-
- Medical Specialty Clinic/Center
- Carrollton, GA
- NPI 1518972348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1154745545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 DIXIE ST STE 220",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173889",
"telephone_number": "770-812-8825",
"fax_number": "770-812-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 DIXIE ST STE 220",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173889",
"telephone_number": "770-812-8825",
"fax_number": "770-812-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SHEENA",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "APRN-NP246497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.