Individual provider Active NPI

Shauna Hardy

  • Family Nurse Practitioner
  • Kathleen, GA
National Provider Identifier
1679430482
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
01 Issued in GA
Practice address
206 Foxtail Chase
Kathleen, GA 31047-2916
Phone
(478) 951-6996
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 01 GA Primary

Addresses

Primary practice location

206 Foxtail Chase
Kathleen, GA 31047-2916

Mailing address

206 Foxtail Chase
Kathleen, GA 31047-2916

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260511002632 GA Practitioner - Nurse Practitioner 2163990896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1006 Hillcrest Pkwy
Suite 1
Dublin, GA 31021-4259
Phone (578) 354-4240

1363 Sam Nunn Blvd
Suite 200
Perry, GA 31069-2121
Phone (470) 750-2905

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2410 Ingleside Ave
Macon, GA 31204-2036
Phone (678) 695-6960

5791 Zebulon Rd
Suite a
Macon, GA 31210-2025
Phone (478) 845-4640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01GAMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1679430482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 FOXTAIL CHASE",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FOXTAIL CHASE",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472916",
            "telephone_number": "478-951-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "SHAUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

Verify at the official NPI Registry.