Individual provider Active NPI

Shamia D. James

  • Occupational Therapist
  • Cumming, GA
National Provider Identifier
1356855241
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008505 Issued in GA
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

Updated by the provider on Dec 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OT008505OtherGAOTHER INSURERS
OT008505MedicaidGA

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

LicenseStateTypeSpecialty
OTA002341GAMDOccupational Therapy Assistant
OT008505GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.