Active NPI
Michelle Shirah
- Nurse Practitioner
- Dawson, GA
National Provider Identifier
1407712409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-NP258814
- Practice address
- 771 Rountree Drive SW
Ste a
Dawson, GA 39842 - Phone
- (229) 270-1905
- Fax
- (229) 270-1915
- NPI assigned
- Jan 2, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-NP258814 | GA | Primary |
Addresses
Primary practice location
771 Rountree Drive SW
Ste a
Dawson, GA 39842
Mailing address
771 Rountree Dr SW
Suite a
Dawson, GA 39842
Phone (229) 270-1905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN258814 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1407712409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 ROUNTREE DR SW",
"address_2": "SUITE A",
"city": "DAWSON",
"state": "GA",
"postal_code": "39842",
"telephone_number": "229-270-1905",
"fax_number": "229-270-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 ROUNTREE DRIVE SW",
"address_2": "STE A",
"city": "DAWSON",
"state": "GA",
"postal_code": "39842",
"telephone_number": "229-270-1905",
"fax_number": "229-270-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRAH",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-02",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "APRN-NP258814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dawson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.