Active NPI
Shamika Anderson
- Behavior Technician
- Dunwoody, GA
National Provider Identifier
1306336615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-52114
- Practice address
- 5488 Chamblee Dunwoody Rd Ste 7
Dunwoody, GA 30338-4161 - Phone
- (404) 480-3842
- NPI assigned
- May 11, 2018
- Last updated
- May 11, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-52114 | GA | Primary |
Addresses
Primary practice location
5488 Chamblee Dunwoody Rd Ste 7
Dunwoody, GA 30338-4161
Mailing address
2580 Lin DO CT
Sumter, SC 29150-1832
Phone (803) 905-4427
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 |
|---|---|---|---|
| 18-52114 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Autism Project, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Surpass Behavioral Health
- Behavior Analyst
- Savannah, GA
- NPI 1336358647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1306336615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 LIN DO CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501832",
"telephone_number": "803-905-4427",
"fax_number": "803-905-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5488 CHAMBLEE DUNWOODY RD STE 7",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303384161",
"telephone_number": "404-480-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SHAMIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "18-52114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.