Individual provider Active NPI

Shuvory Chyann Green, FNP-C

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1487994901
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP193727 Issued in GA
Practice address
101 Regency Park Dr
McDonough, GA 30253-7080
Phone
(404) 996-0126
NPI assigned
Feb 20, 2013
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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-NP193727 GA Primary

Addresses

Primary practice location

101 Regency Park Dr
McDonough, GA 30253-7080

Mailing address

101 Regency Park Dr
McDonough, GA 30253-7080
Phone (404) 996-0126

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
I20140609000631 GA Practitioner - Nurse Practitioner 9436373602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1280 Dogwood Dr SE
Conyers, GA 30013-5046
Phone (404) 994-4662

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2410 Ingleside Ave
Macon, GA 31204-2036
Phone (678) 695-6960

3366 Hwy 42 S
Suite 100
Locust Grove, GA 30248-3014
Phone (470) 759-2085

4475 W Village Pkwy
Ellenwood, GA 30294-2869
Phone (770) 507-7950

921 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 660-5106

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP193727GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Feb 1, 2015 Accepting new patients
Emerginet SRMC, LLC CurrentSince Apr 25, 2014 Accepting new patients
Emerginet Henry, LLC CurrentSince Apr 25, 2014 Accepting new patients
Piedmont Henry Hospital, Inc. Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 4

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1487994901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENCY PARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537080",
            "telephone_number": "404-996-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REGENCY PARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537080",
            "telephone_number": "404-996-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHUVORY",
        "middle_name": "CHYANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP193727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.