Individual provider Active NPI

Shayna S Flash, PA-C, MPH

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1306990973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2986 Issued in GA
Practice address
975 Johnson Ferry Rd NE
Suite 460
Atlanta, GA 30342-1619
Phone
(404) 832-0300
Fax
(404) 832-0070
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2986 GA Primary

Addresses

Primary practice location

975 Johnson Ferry Rd NE
Suite 460
Atlanta, GA 30342-1619

Mailing address

3937 Sheldon Dr NE
Atlanta, GA 30342-4211
Phone (404) 949-9199

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002986GAMDPsychologist
2986GAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306990973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 SHELDON DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424211",
            "telephone_number": "404-949-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD NE",
            "address_2": "SUITE 460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421619",
            "telephone_number": "404-832-0300",
            "fax_number": "404-832-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLASH",
        "first_name": "SHAYNA",
        "middle_name": "S",
        "credential": "PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.