Active NPI
Shane Wheelus, AGACNP-BC
- Acute Care Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1760967004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN182869
- Practice address
- 550 Peachtree St NE Dept of
Atlanta, GA 30308-2247 - Phone
- (404) 686-4411
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN182869 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE Dept of
Atlanta, GA 30308-2247
Mailing address
3094 Sawgrass TRL SW
Lilburn, GA 30047-1861
Phone (770) 310-0756
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN182869 | GA | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- swheelus57676@direct.emory.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1760967004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3094 SAWGRASS TRL SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300471861",
"telephone_number": "770-310-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE DEPT OF",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-686-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELUS",
"first_name": "SHANE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN182869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.