Shannan Georgov, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LP-0010674 Issued in DE

Practice address

100 Discovery Blvd
Newark, DE 19713-1325

Phone

(302) 866-9704

NPI assigned

Jan 20, 2023

Last updated

Mar 27, 2025By 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 4

Addresses

Other names 1

• Ms. Shannan Harkins Former name

Medicare fee-for-service enrollment

Enrolled in PA, DE, MD3 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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Talis Healthcare LLCGroup PAC ID 9234474552, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Talis Healthcare LLC

  • Clinic/Center
  • Houston, TX
  • NPI 1821594060

  DE, MD

  Medicare reassignment Care Compare group NPD
• Vista Medical Services, Inc.

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1659452027
  Medicare reassignment NPD
• Kansas Infusion Clinic

  • Infusion Therapy Clinic/Center
  • Topeka, KS
  • NPI 1316664634
  NPD (past)
• Valustar Pharmacy LLC

  dba Biotek Remedys South

  • Home Infusion Therapy Pharmacy
  • Houston, TX
  • NPI 1841650595
  NPD (past)

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1255046546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DISCOVERY BLVD STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131325",
            "telephone_number": "302-866-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DISCOVERY BLVD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131325",
            "telephone_number": "302-866-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGOV",
        "first_name": "SHANNAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026462",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP026462",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010674",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNAN",
            "last_name": "HARKINS",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genesis
• Donna Gensel
• George D. Giannoukos MD, PA
• Debra C George
• Kevin George
• Danielle L. Gerber, D.M.D.
• Barbara German
• Diana E Germosen, M.D.
• Amanda Elizabeth Gerrick
• Douglas Gersh, M.D.

• Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.