Individual provider Active NPI

Emily Betsill Shaw

  • Family Nurse Practitioner
  • Thomaston, GA
National Provider Identifier
1417790338
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN297863 Issued in GA
Practice address
502 W Main St
Thomaston, GA 30286-6209
Phone
(706) 938-4483
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN297863 GA Primary

Addresses

Primary practice location

502 W Main St
Thomaston, GA 30286-6209

Mailing address

527 Lifsey Springs Rd
Zebulon, GA 30295-6555
Phone (678) 588-2232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250117000228 GA Practitioner - Nurse Practitioner 2860920949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sabrina Lancaster NP-C IncGroup PAC ID 4789913328, 3 clinicians

Practice addresses (Care Compare)

502 W Main St
Thomaston, GA 30286-6209
Phone (706) 846-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sabrina Lancaster NP-C Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

410 N 5th Ave
#A
Manchester, GA 31816
Phone (706) 846-1202

502 W Main St
Thomaston, GA 30286
Phone (706) 846-1202

Organizations & group practices 1

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1417790338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 LIFSEY SPRINGS RD",
            "city": "ZEBULON",
            "state": "GA",
            "postal_code": "302956555",
            "telephone_number": "678-588-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302866209",
            "telephone_number": "706-938-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "EMILY",
        "middle_name": "BETSILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN297863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.