Individual provider Active NPI

Pamela G Shaw-Grant, ADVANCED NURSE PRACT

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1477546489
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN070808 Issued in GA
Practice address
2100 Comer Ave
Columbus, GA 31904-8725
Phone
(706) 596-5500
Fax
(706) 576-5896
NPI assigned
Aug 24, 2005
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
Nurse Practitioner 363L00000X RN070808 GA Primary

Addresses

Primary practice location

2100 Comer Ave
Columbus, GA 31904-8725

Mailing address

1 Clear CRK
Fort Mitchell, AL 36856-4433
Phone (706) 464-7745

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
I20041130000937 GA Practitioner - Nurse Practitioner 5294790358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons Area MH Mr Sa Program 7 clinicians

Practice addresses (Care Compare)

2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 596-5583

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Area MH Mr Sa Program CurrentSince Nov 8, 2009 Accepting new patients
Mercymed of Columbus Inc CurrentSince Jan 5, 2026 Accepting new patients
Horizons North, Inc. CurrentSince Apr 6, 2013 Accepting new patients
Georgia Department of Human Resources Past Accepting new patients
James F Zumstein MD LLC Past Accepting new patients

Locations

1215 2nd Ave
Columbus, GA 31901
Phone (706) 323-0174

2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174

Interoperability endpoints

  • Direct secure messaging: pshaw@directmd.nhbh.org

Organizations & group practices 5

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1477546489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLEAR CRK",
            "city": "FORT MITCHELL",
            "state": "AL",
            "postal_code": "368564433",
            "telephone_number": "706-464-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 COMER AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048725",
            "telephone_number": "706-596-5500",
            "fax_number": "706-576-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW-GRANT",
        "first_name": "PAMELA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "ADVANCED NURSE PRACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN070808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.