Active NPI
Shalia Shani Gregory, FNP-C
- Family Nurse Practitioner
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN201437
- Practice address
- 4424 Hugh Howell Rd Ste D
Tucker, GA 30084-4905 - Phone
- (404) 692-4466
- Fax
- (415) 252-7176
- NPI assigned
- Dec 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN201437 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN201437 | GA | Primary |
Addresses
Primary practice location
4424 Hugh Howell Rd Ste D
Tucker, GA 30084-4905
Mailing address
4424 Hugh Howell Rd Ste D
Tucker, GA 30084-4905
Phone (404) 692-4466
Other practice location 1
1230 Peachtree St NE
Atlanta, GA 30309-3574
Phone (866) 949-0108
Other practice location 2
2712 Lawrenceville Hwy
Decatur, GA 30033-2512
Phone (770) 496-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003142568E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN201437 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Nurse Practitioner | Current | Accepting new patients |
| Monogram Health Professional Services PC | Nurse Practitioner | Current | Accepting new patients |
| DL Howard MD PHD PLLC | Past | Accepting new patients | |
| Northside Imaging LLC | Past | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients |
Locations
1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
3527 Memorial Dr
Unit W
Decatur, GA 30032
Phone (404) 573-4844
4424 Hugh Howell Rd
Ste D
Tucker, GA 30084
Phone (404) 692-4466
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Tucker, GA
- NPI 1518446194
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
GA, Nurse Practitioner
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1104485788
-
- Internal Medicine Physician
- Arvada, CO
- NPI 1760867428
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
Nurse Practitioner
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
-
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1124379284
-
- Gynecology Physician
- Las Vegas, NV
- NPI 1972122596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1275964447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 HUGH HOWELL RD STE D",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844905",
"telephone_number": "404-692-4466",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 HUGH HOWELL RD STE D",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844905",
"telephone_number": "404-692-4466",
"fax_number": "415-252-7176"
}
],
"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",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2712 Lawrenceville Hwy",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300332512",
"country_code": "US",
"telephone_number": "770-496-5555",
"fax_number": "770-939-2887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "SHALIA",
"middle_name": "SHANI",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN201437",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN201437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003142568E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.