Shivashanker PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

034881 Issued in GA

Legal business name

SHIVASHANKER PC

Practice address

7695 Highpoint Dr
Jonesboro, GA 30236

Phone

(404) 361-3100

Fax

(404) 361-3141

NPI assigned

Jan 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Valencia W Flournoy

Title

Administrator

Phone

(404) 579-2188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PARKWAY MEDICAL CLINIC Doing business as

Locations

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1306083324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 FOREST PKWY",
            "address_2": "STE A",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972190",
            "telephone_number": "404-361-3100",
            "fax_number": "404-361-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 HIGHPOINT DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30236",
            "telephone_number": "404-361-3100",
            "fax_number": "404-361-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVASHANKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "FLOURNOY",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-579-2188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "034881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000477287K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKWAY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelter at Home Care LLC
• Shelter at Home Care LLC
• Shereka Shaw, LPC
• Sherman Support and Solutions, LLC
• Sangmin Ryan Shin, M.D.
• Shontella'S Caring Hearts LLC
• Jay V Shukla, MD
• Alexandra Shular
• Michelle A Shuler, D.M.D.
• Magdaline Simervil

• Pediatrics Physician in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.