Active NPI
Shae M Partin, PNP
- Pediatric Nurse Practitioner
- Dalton, GA
National Provider Identifier
1770167314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN257447
- Practice address
- 2918 E Walnut Ave
Dalton, GA 30721-8724 - Phone
- (706) 529-4600
- NPI assigned
- May 10, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN257447 | GA | Primary |
Addresses
Primary practice location
2918 E Walnut Ave
Dalton, GA 30721-8724
Mailing address
387 Thompson Hill Rd
Ringgold, GA 30736-8661
Phone (423) 774-0978
Other names 1
- Shae Lingerfelt
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)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN257447 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Pediatrics, PC | Current | Accepting new patients |
Locations
2918 E Walnut Ave
Dalton, GA 30721
Phone (706) 529-4600
2366 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 841-0150
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.
-
- Pediatrics Physician
- Dalton, GA
- NPI 1912224577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1770167314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 THOMPSON HILL RD",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368661",
"telephone_number": "423-774-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 E WALNUT AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307218724",
"telephone_number": "706-529-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTIN",
"first_name": "SHAE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN257447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAE",
"last_name": "LINGERFELT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.