Shanique Renee Terry-Ann Francis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP000999 Issued in GA

Practice address

774 Ga Hwy 96
Bonaire, GA 31005

Phone

(478) 988-5711

Fax

(478) 988-5712

NPI assigned

Jan 26, 2023

Last updated

Mar 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shanique Renee Terry-Ann Crooks Other name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• TLC of Georgia LLC

  dba The Little Clinic

  • Family Nurse Practitioner
  • Jefferson, GA
  • NPI 1750677241
  NPD

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1841906435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958, OH",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 GA HWY 96",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "31005",
            "telephone_number": "478-988-5711",
            "fax_number": "478-988-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "SHANIQUE",
        "middle_name": "RENEE TERRY-ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANIQUE",
            "last_name": "CROOKS",
            "middle_name": "RENEE TERRY-ANN",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Dyer, RPH
• Chukwuemeka J Ezuruonye, RN
• Duane Ollie Fields
• Ashley Berlin Foster, LPC
• Judith Foster, LCSW-C
• Fabian R. Franco, M.D.
• John Matthew Franco, MD
• Candace Penney Franks
• Laura Lenhard Frawley, NP-C
• Kelsey Galeano, PHARM.D.

• Family Nurse Practitioner in Bonaire, GA
• Providers in Bonaire, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.