Active NPI
Shialla Warren NP Corporation
Doing business as Shialla Warren Psychiatric Services
- Psychiatric/Mental Health Nurse Practitioner
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SHIALLA WARREN NP CORPORATION
- Doing business as
- Shialla Warren Psychiatric Services
- Practice address
- 12461 Veterans Memorial Hwy Ste 805
Douglasville, GA 30134-2025 - Phone
- (404) 595-8722
- Fax
- (678) 737-1432
- NPI assigned
- Dec 7, 2021
- Last updated
- Mar 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shialla Deneen Warren, APRN
- Title
- Owner
- Phone
- (404) 595-8722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
12461 Veterans Memorial Hwy Ste 805
Douglasville, GA 30134-2025
Mailing address
4403 Turnberry CT
Douglasville, GA 30135-2767
Phone (404) 987-8722
Other names 1
- Shialla Warren Psychiatric Services
National Provider Directory
National Provider DirectoryLocations
12461 Veterans Memorial Hwy
Ste 805
Douglasville, GA 30134
Phone (404) 595-8722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Austell, GA
- NPI 1962078089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646352000000",
"number": "1316605330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 TURNBERRY CT",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352767",
"telephone_number": "404-987-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12461 VETERANS MEMORIAL HWY STE 805",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342025",
"telephone_number": "404-595-8722",
"fax_number": "678-737-1432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIALLA WARREN NP CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-07",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "SHIALLA",
"authorized_official_middle_name": "DENEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-595-8722",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shialla Warren Psychiatric Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.