Shaun A. Cumbermack, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP240547 Issued in GA

Practice address

3665 Wheeler Rd Ste 1a
Augusta, GA 30909-6596

Phone

(706) 250-3902

Fax

(706) 303-4668

NPI assigned

May 19, 2025

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Augusta Psychiatry and Therapy Associates, LLCGroup PAC ID 4789105172, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Augusta Psychiatry and Therapy Associates, LLC

  • Mental Health Counselor
  • Augusta, GA
  • NPI 1619780392
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1649062548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 WHEELER RD STE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096596",
            "telephone_number": "706-250-3902",
            "fax_number": "706-303-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 WHEELER RD STE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096596",
            "telephone_number": "706-250-3902",
            "fax_number": "706-303-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBERMACK",
        "first_name": "SHAUN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP240547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Parker H Cudd Sr., DMD
• Shengji Cui
• Evis Cuko, M.D.
• Jessica Lizzette Cullison
• Sarah Isabel Culpepper
• Alicia Cummings
• Loveanisha Leann Cummings, MSW
• Mary Eleanora Cummings, MSOTR/L
• Tonia Smith Cummings
• Lisa-Anne Cummins, ATC, CSCS

• Psychiatric/Mental Health Nurse Practitioner in Augusta, GA
• Providers in Augusta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.

Verify at the official NPI Registry.