Individual provider Active NPI

Shae M Partin, PNP

  • Pediatric Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1770167314
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN257447 Issued in GA
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

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RN257447GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Pediatrics, PC CurrentSince Jun 11, 2023 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.

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.

Verify at the official NPI Registry.