Individual provider Active NPI

Shanice Mosley

  • Surgical Technologist
  • Lawrenceville, GA
National Provider Identifier
1659954055
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Practice address
531 Exam CT Ste 115
Lawrenceville, GA 30044-5428
Phone
(770) 568-4648
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X GA Primary

Addresses

Primary practice location

531 Exam CT Ste 115
Lawrenceville, GA 30044-5428

Mailing address

399 Wayward Wind Dr SW
Lilburn, GA 30047-6433
Phone (404) 966-4672

Other practice location 1

3071 Eastland Way
Snellville, GA 30078-6429
Phone (678) 353-1483

Other practice location 2

3993 Lawrenceville Hwy NW Ste 115
Lilburn, GA 30047-2831
Phone (770) 559-1973

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address enerdripivinfusion@outlook.com
Direct Messaging Address sjones@womenoftruthinc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ener Drip IV Infusion & Med Spa CurrentSince May 9, 2021 Accepting new patients
Med IV Healthcare Current Accepting new patients
Ready Transplant Staffing Current Accepting new patients
Women of Truth Inc PastSince Feb 6, 2022 Accepting new patients

Locations

3993 Lawrenceville Hwy NW
Ste 115
Lilburn, GA 30047
Phone (770) 559-1973

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23922/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659954055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 WAYWARD WIND DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476433",
            "telephone_number": "404-966-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 EXAM CT STE 115",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445428",
            "telephone_number": "770-568-4648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3071 Eastland Way",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300786429",
            "country_code": "US",
            "telephone_number": "678-353-1483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3993 Lawrenceville Hwy NW Ste 115",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300472831",
            "country_code": "US",
            "telephone_number": "770-559-1973",
            "fax_number": "470-454-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "SHANICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-09-11",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enerdripivinfusion@outlook.com",
            "affiliation": "N",
            "address_1": "3993 Lawrenceville Hwy NW Ste 115",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300472831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjones@womenoftruthinc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3071 Eastland Way",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300786429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.