NPIMap

Organization Active NPI

SHC Medical Partners of Georgia, LLC

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1639314057
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SHC MEDICAL PARTNERS OF GEORGIA, LLC
Practice address
54 Peachtree Park Dr NE
Atlanta, GA 30309-1304
Phone
(404) 351-6041
Fax
(404) 355-1092
NPI assigned
Dec 15, 2008
Organization subpart
Yes
Parent organization
SHC MEDICAL PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Mrs. Allison Brown, OFFICER
Title
Officer/Secretary
Phone
(502) 394-2159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

54 Peachtree Park Dr NE
Atlanta, GA 30309-1304

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-5186
Phone (502) 558-2193

Other identifiers 1

IdentifierTypeStateIssuer
535401780AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000278 GA Part B Supplier - Clinic/Group Practice 3375690118 Receives reassigned benefits from 16 practitioners
Practice locations: Dalton, GA; Atlanta, GA; Savannah, GA; Marietta, GA; Lake City, GA; La Fayette, GA; Douglasville, GA

National Provider Directory

National Provider Directory
Part of
SHC Medical Partners LLC

Locations

1102 Burleyson Rd
Dalton, GA 30720
Phone (706) 226-1021

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1639314057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "502-558-2193",
            "fax_number": "502-568-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PEACHTREE PARK DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091304",
            "telephone_number": "404-351-6041",
            "fax_number": "404-355-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC MEDICAL PARTNERS OF GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHC MEDICAL PARTNERS, LLC",
        "enumeration_date": "2008-12-15",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OFFICER/SECRETARY",
        "authorized_official_telephone_number": "502-394-2159",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OFFICER"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535401780A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.