Active NPI
Shanta Mitchell Collins, RN
- Registered Nurse
- Stone Mountain, GA
National Provider Identifier
1801433628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN246802
- Practice address
- 955 Redan Trce
Stone Mountain, GA 30088-2562 - Phone
- (678) 320-8349
- NPI assigned
- Dec 1, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN246802 | GA | Primary |
Addresses
Primary practice location
955 Redan Trce
Stone Mountain, GA 30088-2562
Mailing address
PO Box 2321
Stone Mountain, GA 30086-2321
Phone (678) 320-8349
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN246802 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575158400000",
"number": "1801433628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2321",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300862321",
"telephone_number": "678-320-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 REDAN TRCE",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300882562",
"telephone_number": "678-320-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SHANTA",
"middle_name": "MITCHELL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-01",
"last_updated": "2019-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN246802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.