Active NPI
Shamia D. James
- Occupational Therapist
- Cumming, GA
National Provider Identifier
1356855241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008505
- Practice address
- 6810 Black Fox LN
Cumming, GA 30040-6655 - Phone
- (404) 955-5694
- NPI assigned
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA002341 | GA | |
| Occupational Therapist | 225X00000X | OT008505 | GA | Primary |
Addresses
Primary practice location
6810 Black Fox LN
Cumming, GA 30040-6655
Mailing address
2219 Justify LN
Stonecrest, GA 30058-5931
Other practice location 1
195 Arizona Ave NE Unit 122
Atlanta, GA 30307-2240
Phone (770) 407-9259
Other practice location 2
4153 Flat Shoals Pkwy # C300
Decatur, GA 30034-4106
Phone (770) 407-9259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT008505 | Other | GA | OTHER INSURERS |
| OT008505 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA002341 | GA | MD | Occupational Therapy Assistant |
| OT008505 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play Wellness Collective | Occupational Therapist | Past | Accepting new patients |
| Sensory Group | Occupational Therapist | Past | Accepting new patients |
| Sensory Kidz, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Atlanta, GA
- NPI 1992390991
-
- Occupational Therapist
- Jonesboro, GA
- NPI 1912469578
-
- Occupational Therapist
- Jonesboro, GA
- NPI 1083155949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703894400000",
"number": "1356855241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 JUSTIFY LN",
"city": "STONECREST",
"state": "GA",
"postal_code": "300585931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 BLACK FOX LN",
"city": "CUMMING",
"state": "GA",
"postal_code": "300406655",
"telephone_number": "404-955-5694"
}
],
"practiceLocations": [
{
"address_1": "195 Arizona Ave NE Unit 122",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303072240",
"country_code": "US",
"telephone_number": "770-407-9259",
"fax_number": "678-550-4207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4153 Flat Shoals Pkwy # C300",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300344106",
"country_code": "US",
"telephone_number": "770-407-9259",
"fax_number": "678-550-4207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "SHAMIA",
"middle_name": "D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2023-12-30",
"certification_date": "2023-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA002341",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INSURERS",
"identifier": "OT008505",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OT008505",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.