Shawna Harkins, CADC1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

20 Commerce Dr
Blairsville, GA 30512-8913

Phone

(706) 781-6987

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Medmark Treatment Centers of Georgia, Inc.

  dba Medmark Treatment Centers Blairsville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Blairsville, GA
  • NPI 1316186968
  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1316534613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128913",
            "telephone_number": "706-781-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128913",
            "telephone_number": "706-781-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "SHAWNA",
        "credential": "CADC1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316186968",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "medicare/mediaid",
            "affiliation": "N",
            "endpointDescription": "medicare/medicaid",
            "address_1": "20 Commerce Dr",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305128913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laurie Jennifer Guy
• Heather Hall, MD
• Hand4Health LLC
• Denny James Hansen
• Sandra Jean Harbin, LPN
• Cameron Joel Harper
• Benjamin Jeppeson Harris, MD
• Christopher Hass
• Hayden C. Schoeffler, MD, PC
• Christine Hayes, MS PT

• Addiction (Substance Use Disorder) Counselor in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.