Individual provider Active NPI

Shannon L Robinson, N.P.

  • Nurse Practitioner
  • Clayton, GA
National Provider Identifier
1679536429
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN154343NP Issued in GA
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000696 GA Practitioner - Nurse Practitioner 6709817596 Reassigns benefits to 1 organization

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
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

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

LicenseStateTypeSpecialty
RN154343NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia Inc CurrentSince Oct 1, 2007 Accepting new patients
Medlink Georgia, Inc CurrentSince Oct 1, 2007 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

  • Direct secure messaging: shannon.robinson.1@9864.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.