Active NPI
Shuntina Lenette Lilly, NURSE PRACTITIONER
- Family Nurse Practitioner
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN186067
- Practice address
- 5555 Whittlesey Blvd Ste 1200
Columbus, GA 31909-7234 - Phone
- (706) 621-7532
- NPI assigned
- Jul 18, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN186067 | GA | Primary |
Addresses
Primary practice location
5555 Whittlesey Blvd Ste 1200
Columbus, GA 31909-7234
Mailing address
3394 Cooper Branch Rd
Columbus, GA 31909-2321
Phone (706) 405-6980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX, IA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-2303
Hospital & facility affiliations
- St Lukes Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN186067 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Benning Hospitalist Services, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Muscogee Hospitalist Services, LLC | Current | Accepting new patients |
Locations
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
200 Medical Dr
Lagrange, GA 30240
Phone (706) 803-7180
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Hospitalist Physician
- Columbus, GA
- NPI 1215442173
-
- Hospitalist Physician
- Columbus, GA
- NPI 1639681851
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1164149365
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Internal Medicine Physician
- Austell, GA
- NPI 1508162173
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1619320306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3394 COOPER BRANCH RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092321",
"telephone_number": "706-405-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 WHITTLESEY BLVD STE 1200",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319097234",
"telephone_number": "706-621-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "SHUNTINA",
"middle_name": "LENETTE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN186067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.