Chastity Shanahan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN204467 Issued in GA

Practice address

104 Colony Park Dr Ste 800
Cumming, GA 30040

Phone

(678) 947-4454

NPI assigned

Mar 2, 2018

Last updated

Oct 3, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Quantum Healthwork, Inc

  dba The Genesis Center

  • Sports Medicine (Family Medicine) Physician
  • Cumming, GA
  • NPI 1205031291
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1497257893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 FENWICK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409617",
            "telephone_number": "770-624-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COLONY PARK DR STE 800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-947-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Mathis Airport Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249132",
            "country_code": "US",
            "telephone_number": "470-297-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Mathis Airport Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249132",
            "country_code": "US",
            "telephone_number": "470-297-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "CHASTITY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satyam Jethalal Shah, RPT
• Sunay Shah, MD
• Khyati Dhiren Shahpatel, D.M.D.
• Holly Marie Shalhoop, PA-C
• Syed N. H. Shamsi, M.D.
• Shanghai Acupuncture Clinic LLC
• Edward Joel Shanik, M.D.
• Jennifer Lynn Shank Jones, RN-LACTATION CONSULT
• Michael L Shannon, CADC II
• Anupama Sharma, DDS

• Family Nurse Practitioner in Cumming, GA
• Providers in Cumming, 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 Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.