Active NPI
Shannon L Robinson, N.P.
- Nurse Practitioner
- Clayton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN154343NP
- Practice address
- 896 Highway 441 S
Clayton, GA 30525-5423 - Phone
- (706) 782-5991
- Fax
- (706) 782-5111
- NPI assigned
- Apr 11, 2006
- Last updated
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN154343NP | GA | Primary |
Addresses
Primary practice location
896 Highway 441 S
Clayton, GA 30525-5423
Mailing address
896 Highway 441 S
Clayton, GA 30525-5423
Phone (706) 782-5991
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127
811 Hwy 441 N
Clayton, GA 30525-4202
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN154343NP | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlink Georgia Inc | Current | Accepting new patients | |
| Medlink Georgia, Inc | Current | Accepting new patients | |
| Beck's Healthcare, LLC | Nurse Practitioner | Past | Accepting new patients |
| Medlink Georgia Inc | Past | Accepting new patients |
Locations
773 N Main St
Clayton, GA 30525
Phone (706) 782-0468
896 Highway 441 S
Clayton, GA 30525
Phone (706) 782-5991
17 White St
Cleveland, GA 30528
Phone (706) 865-4001
11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234
11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234
Interoperability endpoints
- shannon.robinson.1@9864.direct.athenahealth.com
- shannon.robinson@mgi.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Colbert, GA
- NPI 1396794541
-
dba MedLink Commerce Family Foot Clinic
- Podiatric Clinic/Center
- Commerce, GA
- NPI 1619627460
-
- Nurse Practitioner
- Eastanollee, GA
- NPI 1518995000
-
dba Medlink Colbert Building 2
- Federally Qualified Health Center (FQHC)
- Colbert, GA
- NPI 1669951414
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountain Lakes Medical Center
- Critical Access Hospital
- Clayton, GA
- NPI 1326191180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1679536429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 HIGHWAY 441 S",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305255423",
"telephone_number": "706-782-5991",
"fax_number": "706-782-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "896 HIGHWAY 441 S",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305255423",
"telephone_number": "706-782-5991",
"fax_number": "706-782-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "SHANNON",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN154343NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.