Active NPI
Shemiko McInnis, WHNP-BC
- Women's Health Nurse Practitioner
- Smyrna, GA
National Provider Identifier
1568101665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN269311
- Practice address
- 3200 Highlands Pkwy SE Ste 420
Smyrna, GA 30082-5192 - Phone
- (678) 424-1123
- NPI assigned
- May 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN269311 | GA | Primary |
| Emergency Registered Nurse | 163WE0003X | RN269311 | GA |
Addresses
Primary practice location
3200 Highlands Pkwy SE Ste 420
Smyrna, GA 30082-5192
Mailing address
3645 Habersham Rd NE Apt 307
Atlanta, GA 30305-6204
Phone (601) 270-1632
Other practice location 1
1520 Clifton Rd NE
Atlanta, GA 30322-4201
Phone (404) 727-7980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN269311 | GA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgyn, LLC | Current | Accepting new patients |
Interoperability endpoints
- shemiko.mcinnis.1@31744.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1326806993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1568101665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 HABERSHAM RD NE APT 307",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303056204",
"telephone_number": "601-270-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 HIGHLANDS PKWY SE STE 420",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825192",
"telephone_number": "678-424-1123"
}
],
"practiceLocations": [
{
"address_1": "1520 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303224201",
"country_code": "US",
"telephone_number": "404-727-7980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINNIS",
"first_name": "SHEMIKO",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2023-12-22",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN269311",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "GA",
"license": "RN269311",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.