Shawn Thurston, FNP-C
Individual provider Active NPI Nurse Practitioner · Royston, GA
NPI 1326883273 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1326883273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 300310 (GA)
- Practice address
- 132 Franklin Springs St
Royston, GA 30662-4134 - Phone
- (706) 621-7555
- NPI assigned
- Jul 1, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- U S Health Dept of Health and Human Services
Georgia Primary Care Partners LLC
Practice addresses (Care Compare)
550 6TH S Ave
Wolf Point Health Center
Wolf Point, MT 59201-0000
Phone (406) 653-1641
60 Exchange St
Suite B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273
Hospital & facility affiliations
- Trinity Hospital
- Poplar Community Hospital
- Frances Mahon Deaconess Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241113002237 | GA | Practitioner - Nurse Practitioner | 0749714715 | Reassigns benefits to 2 organizations |
| I20250714001123 | TX | Practitioner - Nurse Practitioner | 0749714715 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Health Dept of Health & Human Services | Current |
Accepting new patients | |
| U S Health Dept of Health & Human Services | Current |
Accepting new patients | |
| Great Health Medical Ga PC | Current |
Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
107 H St
Poplar, MT 59255
Phone (406) 738-3491
407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 300310 | GA | Yes |
Addresses
Primary practice location
132 Franklin Springs St
Royston, GA 30662-4134
Mailing address
77 Booger Hill Rd
Danielsville, GA 30633-6213
Phone (850) 376-8501
Other providers in Royston, GA
- Starrett Pharmacy, LLC
- Mary Rene' Starrett
- Emily Carlton Strickland
- Thomas N. Howell, D.Min., LMFT
- Brandy Thomas
- Jordan Tiller
- Total Language Concepts LLC
- Treehouse Pediatric Therapy LLC
- Turner Podiatry and Wound Care LLC
- Kristen Harris Turner
All providers in Royston, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.