Individual provider Active NPI

Shena Campbell

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1457821373
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN208455 Issued in GA
Practice address
1372 Peachtree St NE
Ste 100
Atlanta, GA 30309-3203
Phone
(470) 964-1700
Fax
(678) 288-5639
NPI assigned
Dec 4, 2018
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 APRN208455 GA Primary

Addresses

Primary practice location

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309-3203

Mailing address

30 Carlisle CT
Covington, GA 30016-7437
Phone (404) 764-0562

Other practice location 1

1244 Park Vista Dr NE
Brookhaven, GA 30319-5372
Phone (404) 215-6000

Other names 1

  • Shena Ogletree Former name

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
I20200508001993 GA Practitioner - Nurse Practitioner 7719318617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1244 Park Vista Dr NE
Brookhaven, GA 30319-5372

1626 Jeurgens Court
Norcross, GA 30093-2219

1626 Jeurgens CT
Norcross, GA 30093-2219

206 N 2100
Suite 202
Salt Lake City, UT 84116-4741

60 Channing Dr
Covington, GA 30016-7437

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN208455GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc Family Medicine CurrentSince Dec 10, 2021 Accepting new patients
Pruitthealth Physicians Services, LLC Family Medicine CurrentSince Aug 25, 2020 Accepting new patients
Vpa PC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Vpa PC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Pruitthealth Hospice, Inc. Family Medicine CurrentSince Dec 10, 2021 Accepting new patients
Longleaf Hospice, LLC Family Medicine Past Accepting new patients

Locations

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

6060 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 745-9204

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

7345 Red Oak Rd
Bldg 25
Union City, GA 30291
Phone (770) 254-8573

Interoperability endpoints

  • Direct secure messaging: shena.campbell.1@32913.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1457821373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CARLISLE CT",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167437",
            "telephone_number": "404-764-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 PEACHTREE ST NE",
            "address_2": "STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093203",
            "telephone_number": "470-964-1700",
            "fax_number": "678-288-5639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Park Vista Dr NE",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303195372",
            "country_code": "US",
            "telephone_number": "404-215-6000",
            "fax_number": "404-848-7965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHENA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2025-07-11",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN208455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENA",
            "last_name": "OGLETREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.