Individual provider Active NPI

Shirin Noorani, NP

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1568865947
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN142687 Issued in GA
Practice address
1107 Memorial Dr
Suite 201
Dalton, GA 30720-8668
Phone
(706) 277-7311
Fax
(706) 272-3512
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 RN142687 GA Primary

Addresses

Primary practice location

1107 Memorial Dr
Suite 201
Dalton, GA 30720-8668

Mailing address

1107 Memorial Dr
Suite 201
Dalton, GA 30720-8668
Phone (706) 277-7311

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jychung@directaddress.net Skin Cancer & Cosmetic Dermatology Center, PC
Direct Messaging Address jychung@directaddress.net Skin Cancer and Cosmetic Dermatology Center PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150603002360 TN Practitioner - Nurse Practitioner 6709107683 Reassigns benefits to 1 organization
I20150605001976 GA Practitioner - Nurse Practitioner 6709107683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 3375591209, 24 clinicians

Practice addresses (Care Compare)

1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662
Phone (706) 277-7311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Cosmetic Dermatology Center PC CurrentSince Mar 23, 2015 Accepting new patients
Skin Cancer & Cosmetic Dermatology Center, PC CurrentSince Apr 22, 2015 Accepting new patients

Locations

101 Riverstone Vis
Ste 215
Blue Ridge, GA 30513
Phone (706) 946-4227

160 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 466-7076

1107 Memorial Dr
Ste 201
Dalton, GA 30720
Phone (706) 277-7311

4700 Battlefield Pkwy
Ste 300
Ringgold, GA 30736
Phone (706) 406-3900

136 Battlefield Crossing Ct
#C
Ringgold, GA 30736

420 E 2nd Ave
Ste 105
Rome, GA 30161
Phone (706) 378-2235

2358 Lifestyle Way
Ste 212
Chattanooga, TN 37421
Phone (423) 521-1100

2253 Chambliss Ave NW
Ste 300
Cleveland, TN 37311
Phone (423) 472-3332

2253 Chambliss Ave NW
Ste 202
Cleveland, TN 37311
Phone (423) 472-3332

Interoperability endpoints

  • Direct secure messaging: shirin.noorani@sccdc.gadirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1568865947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208668",
            "telephone_number": "706-277-7311",
            "fax_number": "706-272-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208668",
            "telephone_number": "706-277-7311",
            "fax_number": "706-272-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORANI",
        "first_name": "SHIRIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN142687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
            "address_1": "1107 Memorial Dr",
            "address_2": "Suite 201",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307208668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer and Cosmetic Dermatology Center PC",
            "address_1": "2253 Chambliss Ave NW",
            "address_2": "Suite 202",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373113861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.