Tanya Rozier Shuttlesworth, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

122909 Issued in GA

Practice address

6005 Watson Blvd
Byron, GA 31008-6542

Phone

(478) 956-5002

NPI assigned

Dec 11, 2016

Last updated

Dec 30, 2016By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Houston County Health Department

  • State or Local Public Health Clinic/Center
  • Warner Robins, GA
  • NPI 1235149402
  Medicare reassignment NPD
• Houston County Health Department

  dba Compass

  • Community/Retail Pharmacy
  • Macon, GA
  • NPI 1700360831
  NPD

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

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1457895435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 GA HIGHWAY 49 N",
            "address_2": "STE A",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310084051",
            "telephone_number": "478-256-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 WATSON BLVD",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086542",
            "telephone_number": "478-956-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTTLESWORTH",
        "first_name": "TANYA",
        "middle_name": "ROZIER",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-11",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "122909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suann Daphna Runshe, NP
• Kimberly M Saffold, NCC, LPC
• Ma Raquel Honeylet Sarte
• Saleeta Schofield
• Alexander Colton Shields, DPT, PT
• Meghna Sil
• Deandre Omar Sims
• Sliiip Medical Group P a (Sliiip)
• Jennifer Smith
• Jocelaine Smith

• Family Nurse Practitioner in Byron, GA
• Providers in Byron, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.

Verify at the official NPI Registry.