Individual provider Active NPI

Shawn Thurston, FNP-C

  • Nurse Practitioner
  • Royston, GA
National Provider Identifier
1326883273
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
300310 Issued in GA
Practice address
132 Franklin Springs St
Royston, GA 30662-4134
Phone
(706) 621-7555
NPI assigned
Jul 1, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 300310 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241113002237 GA Practitioner - Nurse Practitioner 0749714715 Reassigns benefits to 2 organizations
I20250714001123 TX Practitioner - Nurse Practitioner 0749714715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Primary Care Partners LLCGroup PAC ID 8022554526, 20 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
300310GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Dept of Health & Human Services CurrentSince Jun 2, 2025 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jun 2, 2025 Accepting new patients
Great Health Medical Ga PC CurrentSince Feb 7, 2025 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

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1326883273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BOOGER HILL RD",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306336213",
            "telephone_number": "850-376-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FRANKLIN SPRINGS ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624134",
            "telephone_number": "706-621-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "300310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royston, GA

Sources for this page

Verify at the official NPI Registry.