Individual provider Active NPI

Quannaires Shanterri Streeter, FNP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1851078877
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN264924 Issued in GA
Practice address
2703 Washington Rd
Augusta, GA 30909-2244
Phone
(706) 737-4939
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27954 SC
Family Nurse Practitioner 363LF0000X RN264924 GA Primary

Addresses

Primary practice location

2703 Washington Rd
Augusta, GA 30909-2244

Mailing address

2703 Washington Rd
Augusta, GA 30909-2244

Other practice location 1

2062 Whiskey Rd
Aiken, SC 29803-6183
Phone (866) 389-2727

Other practice location 2

101 Edgefield Rd
North Augusta, SC 29841-2423
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230920001450 GA Practitioner - Nurse Practitioner 2567816853 Reassigns benefits to 4 organizations
I20240108004074 SC Practitioner - Nurse Practitioner 2567816853 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Nov 13, 2023 Accepting new patients
Psychiatry of Texas PLLC Family CurrentSince Jan 25, 2026 Accepting new patients
Minuteclinic LLC Family CurrentSince Aug 24, 2023 Accepting new patients
Psychplus Medical Associates, PLLC Family CurrentSince Jan 25, 2026 Accepting new patients

Locations

2703 Washington Rd
Augusta, GA 30909
Phone (706) 737-4939

1200 Winder Hwy
Dacula, GA 30019
Phone (404) 474-8704

465 Winn Way
Ste 130
Decatur, GA 30030
Phone (404) 296-0148

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

1510 Whiskey Rd
Ste 2
Aiken, SC 29803

2062 Whiskey Rd
Aiken, SC 29803
Phone (803) 648-2315

221 Adley Way
Greenville, SC 29607
Phone (661) 378-0517

101 Edgefield Rd
North Augusta, SC 29841
Phone (803) 279-7470

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1851078877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092244",
            "telephone_number": "706-737-4939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2062 Whiskey Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298036183",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Edgefield Rd",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298412423",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREETER",
        "first_name": "QUANNAIRES",
        "middle_name": "SHANTERRI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN264924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.