Active NPI
Shanicqua Barnes, CRANIALPROSTHESISSPE
- Prosthetics Case Management
- East Point, GA
National Provider Identifier
1245944800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 22244081
- Practice address
- 5624 Laurel Ridge Dr
East Point, GA 30344-8021 - Phone
- (404) 423-9350
- NPI assigned
- Jan 9, 2023
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 22244081 | GA | Primary |
Addresses
Primary practice location
5624 Laurel Ridge Dr
East Point, GA 30344-8021
Mailing address
5624 Laurel Ridge Dr
East Point, GA 30344-8021
Phone (404) 423-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22244081 | GA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1245944800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5624 LAUREL RIDGE DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303448021",
"telephone_number": "404-423-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5624 LAUREL RIDGE DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303448021",
"telephone_number": "404-423-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "SHANICQUA",
"credential": "CRANIALPROSTHESISSPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "22244081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.