SHP Provider Network, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SHP PROVIDER NETWORK, LLC

Practice address

7505 Waters Ave Ste F9
Savannah, GA 31406-3822

Phone

(912) 691-5711

NPI assigned

Jun 19, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Mooney

Title

VP, Managed Care

Phone

(229) 407-0213

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1851288286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60969",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314200969",
            "telephone_number": "912-691-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE STE F9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063822",
            "telephone_number": "912-691-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP PROVIDER NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "VP, MANAGED CARE",
        "authorized_official_telephone_number": "229-407-0213",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hava Shlimak, BS, BA, BCBA
• Elbert Frank Sholar, M.D.
• Thomas Earl Shook, MD, MPH
• Chelsea Shoop, CCC-SLP
• Shannon Shorter, HIS
• Shrink Savannah
• Cathryn B. Shriver, RN, CDE
• La-Shay Shuler
• Nancy Beth Shull, M.D.
• Jonathan Michael Shults, MD.

• Multi-Specialty Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.