Shana Goodno, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN164651 Issued in GA

Practice address

207 31 St Ave SE
Moultrie, GA 31768

Phone

(229) 217-0088

Fax

(229) 217-0087

NPI assigned

Sep 8, 2010

Last updated

Oct 13, 2025By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Convenient Care LLC

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1366734683
  Medicare reassignment NPD

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1568779809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 31ST AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686703",
            "telephone_number": "229-217-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 31 ST AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "31768",
            "telephone_number": "229-217-0088",
            "fax_number": "229-217-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNO",
        "first_name": "SHANA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN164651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Antonio Ginel, LMHC, LPC
• Give Kindness Wing
• Mark A Globerman, PA-C
• Emily Bailey Goff, ST
• Jeremy Zach Goodman, MD
• Johnny Levar Gosier, D.M.D.
• Matthew Gould, PA
• Matthew Adam Graham, MD
• Keith Woodward Gramling Jr., DO
• Justin Wayne Graves, LCSW

• Nurse Practitioner in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.