Shanita Southerland Ausborn, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN203226 Issued in GA

Practice address

770 Walnut St
Macon, GA 31201-7307

Phone

(478) 787-4266

Fax

(478) 787-4199

NPI assigned

Mar 11, 2015

Last updated

Feb 15, 2022By 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

Enrolled in GA, DC, CA, FL, VA5 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 5

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seen Medical Group, P.a.Group PAC ID 8426580275, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4
• Direct secure messaging: shanita.ausborn@49412312072196.direct.elationemr.com
• Direct secure messaging: shanita.ausborn@532070890209284.direct.elationemr.com

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.

• Seen Medical Group, P.a.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1831944370

  GA

  Medicare reassignment Care Compare group NPD
• Copilotiq, PC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1316527203

  DC, GA

  Medicare reassignment NPD
• Form Health Associates Ma, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Boston, MA
  • NPI 1386260594
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1205229531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017307",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017307",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Peachtree St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093574",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-422-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSBORN",
        "first_name": "SHANITA",
        "middle_name": "SOUTHERLAND",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Sleep Lab, Inc.
• Atrium Case Management Services, LLC
• Auditory Verbal Center Inc
• Lanita Aupperle, NP-C
• Aura Pharmacy, LLC (Vital Care of Macon)
• Makenzie Nicole Ausitn
• Amelia Nguyet Chu Austin, MD
• Chermeia Austin, D.O.
• Chloe Austin, LAPC
• Krystal D Austin, CEO, CNA

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.