Active NPI
Shannon Owensby, RN
- Psychiatric/Mental Health Registered Nurse
- Summerville, GA
National Provider Identifier
1417354465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN225610
- Practice address
- 83 Highway 48
Summerville, GA 30747-1506 - Phone
- (706) 857-5441
- NPI assigned
- Nov 19, 2014
- Last updated
- Nov 19, 2014
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN225610 | GA | Primary |
Addresses
Primary practice location
83 Highway 48
Summerville, GA 30747-1506
Mailing address
1041 York Rd
La Fayette, GA 30728-4907
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN225610 | GA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lookout Mountain Community Services | Past | Accepting new patients | |
| Lookout Mountain Community Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- La Fayette, GA
- NPI 1386716124
-
- Community/Behavioral Health Agency
- Summerville, GA
- NPI 1720150907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1417354465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 YORK RD",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307284907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 HIGHWAY 48",
"city": "SUMMERVILLE",
"state": "GA",
"postal_code": "307471506",
"telephone_number": "706-857-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENSBY",
"first_name": "SHANNON",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN225610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, GA
- North Georgia Healthcare Summerville
- Northwest Georgia Family Practice Center, PC
- Brittany Elaine O'Toole, FNP-BC
- Oakview Nursing & Rehabilitation Center LLC (Oak View Health and Rehabilitation)
- Cheryl Odom
- P. Carl Davidson MD PC (D/B/A Davidson Eye Clinic)
- Stacey Hipps Page, NCC, LPC
- Mary Doster Parker, ED. S
- Magdana Philossaint, PHD
- Pledger Behavior Consulting, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.