Individual provider Active NPI

Brittany Shannon Cheeks, M.D.

  • Pediatrics Physician
  • Newnan, GA
National Provider Identifier
1841224896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
057915 Issued in GA
Practice address
2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297
Phone
(770) 502-2020
Fax
(770) 502-2021
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 057915 GA Primary

Addresses

Primary practice location

2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297

Mailing address

2959 Sharpsburg McCullum Rd
Newnan, GA 30265-2297
Phone (770) 502-2020

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200807002949 GA Practitioner - Pediatric Medicine 2264857275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
057915GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Pediatric Physicians LLC Pediatrics CurrentSince Jun 1, 2020 Accepting new patients

Locations

189 Jefferson Pkwy
Newnan, GA 30263
Phone (706) 369-5440

2959 Sharpsburg McCullum Rd
Newnan, GA 30265
Phone (770) 502-2000

105 Fischer Marketplace Ln
Ste 200
Sharpsburg, GA 30277
Phone (770) 502-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841224896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-502-2020",
            "fax_number": "770-502-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-502-2020",
            "fax_number": "770-502-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEKS",
        "first_name": "BRITTANY",
        "middle_name": "SHANNON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "057915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.