Shawna M Berg, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN113194 Issued in GA

Practice address

820 Maple St
Carrollton, GA 30117-3626

Phone

(678) 390-7915

Fax

(678) 390-7901

NPI assigned

Sep 14, 2011

Last updated

Mar 21, 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 2

Addresses

Other names 1

• Shawna M Poulnott Former name

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22071/brand/1/csg/1/fhir/r4
• Direct secure messaging: shawna.berg.1@22071.direct.athenahealth.com

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.

• 3:16 Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bremen, GA
  • NPI 1295695781
  Medicare reassignment NPD
• 316 Family Medicine

  • Family Medicine Physician
  • Bremen, GA
  • NPI 1861915647
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787
  Medicare reassignment NPD
• TMC Immediate Care, Inc

  dba Tanner Urgent Care

  • Urgent Care Clinic/Center
  • Villa Rica, GA
  • NPI 1386708097
  Medicare reassignment NPD
• Tanner Family Healthcare of Franklin Inc

  • Rural Health Clinic/Center
  • Franklin, GA
  • NPI 1871784645
  NPD
• Carrollton Surgical Group, P. a.

  • Surgery Physician
  • Carrollton, GA
  • NPI 1417931825
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1598047730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GORDON ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101519",
            "telephone_number": "770-537-1234",
            "fax_number": "770-537-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MAPLE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173626",
            "telephone_number": "678-390-7915",
            "fax_number": "678-390-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Alabama Ave S",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102501",
            "country_code": "US",
            "telephone_number": "678-821-6400",
            "fax_number": "678-821-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "SHAWNA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN113194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN113194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "POULNOTT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Benefield
• April Denise Benton, MED, CCC-SLP
• Adrienne Simone Berard, M.D.
• William Ronald Berard, M.D.
• Mary Bereznak
• Amy Bergquist, FNP-BC
• Garland Keith Berry, M.D.
• Marian Adale Berry, NURSE PRACTITIONER
• Bailey Andrews Bevil, OT
• Latoya Pulliam Bexley, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.