Individual provider Active NPI

Shanique L Adams, NP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1588091995
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP185519 Issued in GA
Practice address
2011 Windsor Spring Rd
Augusta, GA 30906-4957
Phone
(706) 798-1700
Fax
(706) 798-8626
NPI assigned
Sep 30, 2013
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP185519 GA Primary
Registered Nurse 163W00000X RN185519 GA

Addresses

Primary practice location

2011 Windsor Spring Rd
Augusta, GA 30906-4957

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other practice location 1

1701 Magnolia Way Ste 102
Augusta, GA 30909-9484
Phone (706) 922-8251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shanique.adams.1@26418.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170612001014 GA Practitioner - Nurse Practitioner 6901174176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2011 Windsor Spring Rd
Augusta, GA 30906-4957
Phone (706) 798-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN185519GAMDRegistered Nurse
NP185519GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care PC CurrentSince May 1, 2025 Accepting new patients
Prosperity Health Services LLC Current Accepting new patients

Locations

1701 Magnolia Way
Ste 102
Augusta, GA 30909
Phone (706) 922-6699

2011 Windsor Spring Rd
Augusta, GA 30906
Phone (706) 798-1700

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

Interoperability endpoints

  • Direct secure messaging: shanique.adams.1@26418.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1588091995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WINDSOR SPRING RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064957",
            "telephone_number": "706-798-1700",
            "fax_number": "706-798-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Magnolia Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309099484",
            "country_code": "US",
            "telephone_number": "706-922-8251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHANIQUE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP185519",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN185519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanique.adams.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2011 Windsor Spring Rd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309064957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.