Shiloh Valley Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHILOH VALLEY CLINIC LLC

Practice address

707 Whitlock Ave SW
Marietta, GA 30064-3000

Phone

(765) 326-0148

NPI assigned

Apr 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Branderly MaliwaNPI 1447790530

Title

President/Ceo

Phone

(765) 326-0148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Branderly Maliwa

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1447790530
  Medicare reassignment Authorized official
• Nomvula Grace Cox

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1437964632
  Medicare reassignment

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1497698104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643000",
            "telephone_number": "765-326-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH VALLEY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "MALIWA",
        "authorized_official_first_name": "BRANDERLY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-326-0148"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Shields
• Lauren Ashley Shields, MS, CCC-SLP
• Nicole Shields, AU.D.
• Mesafint Tadesse Shiferaw, MD
• Shilo Enterprises PC
• Shingala Dental Associates LLC
• Abhikumar Shingala, DMD
• Meagan Shipes
• Pamela Bazemore Shippy, PHARM.D.
• Shireen Hunte Consulting LLC

• Psychiatric/Mental Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.