Individual provider Active NPI

Alicia Diane Shoemaker, FNP-C

  • Family Nurse Practitioner
  • Cleveland, GA
National Provider Identifier
1477439453
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP257422 Issued in GA
Practice address
17 White St
Cleveland, GA 30528-1140
Phone
(706) 969-7510
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 APRN-NP257422 GA Primary

Addresses

Primary practice location

17 White St
Cleveland, GA 30528-1140

Mailing address

60 Candover CT
Dahlonega, GA 30533-8280
Phone (678) 749-6633

Other names 1

  • Mrs. Alicia Diane Lima 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
I20251104004379 GA Practitioner - Nurse Practitioner 5890285274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

17 White St
Cleveland, GA 30528-1140
Phone (706) 969-7510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP257422GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia, Inc CurrentSince Sep 8, 2025 Accepting new patients
Medlink Georgia Inc CurrentSince Sep 8, 2025 Accepting new patients
Medlink Georgia Inc Past Accepting new patients

Locations

17 White St
Cleveland, GA 30528
Phone (706) 865-4001

2648 Highway 129 N
Cleveland, GA 30528
Phone (706) 725-4000

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

Organizations & group practices 3

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": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1477439453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CANDOVER CT",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305338280",
            "telephone_number": "678-749-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHITE ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281140",
            "telephone_number": "706-969-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "ALICIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP257422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "LIMA",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, GA

Sources for this page

Verify at the official NPI Registry.