Shamarra Jackson Farmer, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

207756 Issued in GA

Practice address

133 Windmeadow Way
Fayetteville, GA 30214-5313

Phone

(404) 788-5078

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1710694716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WINDMEADOW WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145313",
            "telephone_number": "404-788-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WINDMEADOW WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145313",
            "telephone_number": "404-788-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "SHAMARRA",
        "middle_name": "JACKSON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "207756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families United Services, Inc.
• Family Healthcare, LLC
• Family Medicine Specialist, PC
• Lindsey Bryant Fannin
• Mattie Mae Farmer Clark, CST/CSFA
• Toniya Marie Farmer, DPT
• Fayette Care Clinic
• Fayette Community Hospital, Inc. (Piedmont Fayette Hospital)
• Fayette County Board of Health (Fayette County Health Department)
• Fayette Dental Group PC

• Ambulatory Care Registered Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Ambulatory Care Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.