Shaliza Hanick, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN216869 Issued in GA

Practice address

325 Knottingham Dr
Athens, GA 30606-2109

Phone

(706) 424-6744

NPI assigned

Jan 27, 2015

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shaliza Mohammed Former 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elbert Memorial HospitalGroup PAC ID 6800889841, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337
• Elbert Memorial Hospital Nursing home, CCN 11Z337

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Elbert Memorial Hospital

  • Critical Access Hospital
  • Elberton, GA
  • NPI 1669488250
  Medicare reassignment Care Compare group NPD
• Evirtualcare, LLC

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1073050647
  Medicare reassignment NPD
• Piedmont Athens Hospitalist Physicians LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1578079000
  Medicare reassignment NPD
• Premier Health Partners, LLC

  • Internal Medicine Physician
  • Watkinsville, GA
  • NPI 1336998574
  Medicare reassignment NPD
• Elbert Memorial Hospital

  dba Hartwell Family Clinic - Elbert Memorial Hospital

  • Rural Health Clinic/Center
  • Hartwell, GA
  • NPI 1770322117
  NPD
• Piedmont Athens Specialty Care LLC

  • Cardiovascular Disease Physician
  • Athens, GA
  • NPI 1184130627
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elbert Memorial Hospital

  • Critical Access Hospital
  • Elberton, GA
  • NPI 1669488250
  Care Compare affiliation

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1891185906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 KNOTTINGHAM DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062109",
            "telephone_number": "706-424-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KNOTTINGHAM DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062109",
            "telephone_number": "706-424-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANICK",
        "first_name": "SHALIZA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN216869",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALIZA",
            "last_name": "MOHAMMED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emery Hancock, PTA
• Robert E Hancock, MD
• Julia Hanes, RN
• Kathleen Herrington Haney
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Alison Sakiko Hanowell, M.D.
• Hansford Pharmacy Services LLC (Athens Infusion and Pharmacy)
• Florence Ann Hansford, RPH
• John Timothy Hansford Sr., RPH
• Jessica Deanne Haralson, APRN, NP

• Family Nurse Practitioner in Athens, GA
• Providers in Athens, 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 Aug 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.