Individual provider Active NPI

Shonta Motton

  • Behavior Analyst
  • Hampton, GA
National Provider Identifier
1770976748
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
46-4911287 Issued in GA
Practice address
10714 Buckingham Cir
Hampton, GA 30228-3253
Phone
(678) 962-3622
NPI assigned
Mar 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 46-4911287 GA Primary
Private Vehicle 347C00000X 46-4911287 GA

Addresses

Primary practice location

10714 Buckingham Cir
Hampton, GA 30228-3253

Mailing address

10714 Buckingham Cir
Hampton, GA 30228-3253
Phone (678) 962-3622

Other identifiers 1

IdentifierTypeStateIssuer
46-4911287MedicaidGA

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

State licenses

LicenseStateTypeSpecialty
46-4911287GAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1770976748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 BUCKINGHAM CIR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283253",
            "telephone_number": "678-962-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 BUCKINGHAM CIR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283253",
            "telephone_number": "678-962-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTON",
        "first_name": "SHONTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "46-4911287",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": "46-4911287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-4911287",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.