Mary Madeline Shattles, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP238777 Issued in GA

Practice address

2752 Cuba Rd
Blakely, GA 39823-6508

Phone

(229) 308-8857

NPI assigned

May 28, 2026

Last updated

May 28, 2026By 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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1225969280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 CUBA RD",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398236508",
            "telephone_number": "229-308-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 CUBA RD",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398236508",
            "telephone_number": "229-308-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTLES",
        "first_name": "MARY",
        "middle_name": "MADELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP238777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ross, PA-C
• Haley Rykard, LPC
• Leslie Leanne Sakow, LCSW
• Self Discovery Counseling and Consulting Inc
• Serenity Living of Blakely
• Sherri L Shaw
• Morgan Simpson, DC, CBD
• Southwest Ga. Nephrology Clinic, P.C.
• Dave Stewart, M.D.
• William H Strickland Jr., PA

• Family Nurse Practitioner in Blakely, GA
• Providers in Blakely, 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 May 28, 2026; 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.

Verify at the official NPI Registry.