Natalie Brown Shumate, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

175424 Issued in GA

Practice address

297 Cooper Rd
Loganville, GA 30052-2518

Phone

(783) 812-6306

Fax

(678) 381-2627

NPI assigned

Mar 14, 2020

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Natalie Rose Brown Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Grayson Pediatrics, LLC

  • Pediatrics Physician
  • Loganville, GA
  • NPI 1831500370
  NPD
• Grayson Pediatrics, LLC

  • Pediatrics Physician
  • Grayson, GA
  • NPI 1083026066
  NPD (past)
• Lisa D Miller MD Pediatrics PC

  • Pediatrics Physician
  • Covington, GA
  • NPI 1659352185
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1447886155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 COOPER RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522518",
            "telephone_number": "678-381-2630",
            "fax_number": "678-381-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 COOPER RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522518",
            "telephone_number": "783-812-6306",
            "fax_number": "678-381-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "NATALIE",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "175424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN175424",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nshu492@",
            "affiliation": "Y",
            "endpointDescription": "regiscollege.edu",
            "affiliationName": "REGIS COLLEGE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "235 Wellesley St",
            "address_2": "BOX 11",
            "city": "Weston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024931545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "BROWN",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shalem Medical Supplies, Inc.
• Sha-de' R Sharpe, LPC
• Shelby Shelnutt
• Meklit Shiferaw
• Vanessa Marie Shoop, LCSW
• Mwangala Kristine Sibetta-Pate, LCSW-LMSW
• Signature Plastic Surgery, LLC
• Naomi M Simpson, LCSW
• Jennifer Marie Sims, MS, OTR/L
• Carol Frances Sinopole, PHARMD

• Pediatric Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.