Georgia Sheena, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601011479 Issued in MI

Practice address

19725 W 12 Mile Rd
Southfield, MI 48076-2584

Phone

(248) 770-5205

NPI assigned

Dec 21, 2022

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 MI

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 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Express Med Urgent Care PLLCGroup PAC ID 0244570034, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gsheena3341818@epic00.corewelldirect.org

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.

• Express Med Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1649755125
  Medicare reassignment Care Compare group
• Troy Sleep Center, PLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Troy, MI
  • NPI 1083863070
  Medicare reassignment NPD
• Violet Health PC

  • Family Medicine Physician
  • Sylvan Lake, MI
  • NPI 1003683137
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1235841263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 COVINGTON RD",
            "city": "BLOOMFLD HLS",
            "state": "MI",
            "postal_code": "483012372",
            "telephone_number": "248-935-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "248-770-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEENA",
        "first_name": "GEORGIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Loren Shaw, D.D.S.,M.S.
• Shawna's Help Desk LLC
• Kelsey Margaret Shay, LMSW
• Kayleigh Sheehan
• Robert Sheehan
• Sheer Surgical PLLC
• Bridget Sheets
• Raafat Boles Mahrous Shehata, M.D.
• Sheigo LLC
• Sheila L. Armstrong, DDS, PLLC

• Physician Assistant in Southfield, MI
• Providers in Southfield, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.