Active NPI
Pamela G Shaw-Grant, ADVANCED NURSE PRACT
- Nurse Practitioner
- Columbus, GA
National Provider Identifier
1477546489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN070808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Area MH Mr Sa Program | Current | Accepting new patients | |
| Mercymed of Columbus Inc | Current | Accepting new patients | |
| Horizons North, Inc. | Current | 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
- 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.
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- NPI 1639450877
-
- Psychiatric Hospital
- Columbus, GA
- NPI 1144224767
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1013021021
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.