Individual provider Active NPI

Shwana Lashon Jay

  • Nurse's Aide
  • Albany, GA
National Provider Identifier
1861227472
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CN0030045275 Issued in GA
Practice address
5425 Newton Rd Ste 4
Albany, GA 31701-7405
Phone
(229) 310-9479
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CN0030045275 GA Primary

Addresses

Primary practice location

5425 Newton Rd Ste 4
Albany, GA 31701-7405

Mailing address

5425 Newton Rd Ste 4
Albany, GA 31701-7405
Phone (229) 310-9479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CN0030045275GAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Laboratory LLC CurrentSince Sep 8, 2024 Accepting new patients
Greater Grace Private Care LLC CurrentSince Sep 8, 2024 Accepting new patients

Locations

5425 Newton Rd
Ste 4
Albany, GA 31701
Phone (229) 310-9479

Organizations & group practices 2

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1861227472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 NEWTON RD STE 4",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317017405",
            "telephone_number": "229-310-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 NEWTON RD STE 4",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317017405",
            "telephone_number": "229-310-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "SHWANA",
        "middle_name": "LASHON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0030045275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.