Organization Active NPI

Shialla Warren NP Corporation

Doing business as Shialla Warren Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1316605330
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Mrs. Shialla Deneen Warren, APRNNPI 1962078089
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.