Shamicah Shanell Tardy

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

2335 Springdale CT Apt H4
Albany, GA 31707-1624

Phone

(229) 443-2061

NPI assigned

Aug 25, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1194492447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 SPRINGDALE CT APT H4",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071624",
            "telephone_number": "229-443-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 SPRINGDALE CT APT H4",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071624",
            "telephone_number": "229-443-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDY",
        "first_name": "SHAMICAH",
        "middle_name": "SHANELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Carter Talley, M.D.
• Marcia T Tankersley, CNP
• Dwayne L Tanner
• Virginia Allison Tanner, NP
• William Jeffrey Tanner, ATC
• Randi Tatum, DO
• Celia Moulton Taylor, PHARM.D
• Chris E. Taylor, LMT
• Daniel Taylor
• Makisha Taylor

• Contractor in Albany, GA
• Providers in Albany, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.