Individual provider Active NPI

Shanice Lanie Figueroa, NP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1821556770
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN236820 Issued in GA
Practice address
2045 Peachtree Rd NE Ste 410
Atlanta, GA 30309-1408
Phone
(310) 496-5844
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN236820 GA
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN236820 GA Primary

Addresses

Primary practice location

2045 Peachtree Rd NE Ste 410
Atlanta, GA 30309-1408

Mailing address

5901 W Century Blvd Ste 750
Los Angeles, CA 90045-5443
Phone (678) 477-6952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206001083 GA Practitioner - Nurse Practitioner 3072982511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

986 Orchard Way
Dalton, GA 30721-9758
Phone (706) 259-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN236820GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toe Up Foot Care LLC Single Specialty Current Accepting new patients
Health Providers of America, LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Global Wound Care Medical Group Single Specialty CurrentSince Mar 15, 2023 Accepting new patients
The Southeast Permanente Medical Group Single Specialty CurrentSince Feb 27, 2026 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2045 Peachtree Rd NE
Ste 410
Atlanta, GA 30309
Phone (470) 768-8600

Organizations & group practices 4

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1821556770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W CENTURY BLVD STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455443",
            "telephone_number": "678-477-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091408",
            "telephone_number": "310-496-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "SHANICE",
        "middle_name": "LANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN236820",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN236820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.