Active NPI
Shanice Mosley
- Surgical Technologist
- Lawrenceville, GA
National Provider Identifier
1659954055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ener Drip IV Infusion & Med Spa | Current | Accepting new patients | |
| Med IV Healthcare | Current | Accepting new patients | |
| Ready Transplant Staffing | Current | Accepting new patients | |
| Women of Truth Inc | Past | Accepting new patients |
Locations
3993 Lawrenceville Hwy NW
Ste 115
Lilburn, GA 30047
Phone (770) 559-1973
Interoperability endpoints
- 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.
-
- Skilled Nursing Facility
- Lawrenceville, GA
- NPI 1588310965
-
- Surgery Physician
- Lawrenceville, GA
- NPI 1992592059
-
- Health Service Clinic/Center
- Lilburn, GA
- NPI 1295317154
-
- Mental Illness Community Based Residential Treatment Facility
- Snellville, GA
- NPI 1952054025
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.