Shawnquita L. Shedrick, LAPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC007569 Issued in GA

Practice address

1462 Montreal Rd Ste 118
Tucker, GA 30084-6904

Phone

(678) 580-5958

NPI assigned

Aug 18, 2020

Reactivated

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Metro Community Healthcare LLC

  • Family Nurse Practitioner
  • Tucker, GA
  • NPI 1891243960
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1902418247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 JIMMY CARTER BLVD APT 613",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935075",
            "telephone_number": "404-435-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD STE 118",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846904",
            "telephone_number": "678-580-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDRICK",
        "first_name": "SHAWNQUITA",
        "middle_name": "L.",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "deactivation_date": "2021-07-02",
        "reactivation_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC007569",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007569",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC007569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAPC - LICENSED ASSOCIATE PROFESSIONAL COUNSELOR",
            "identifier": "APC007569",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Adam Shapiro, DC
• Nathan Shapiro, DDS
• Rita Sharma, MD
• Pinang M Shastri, DO
• Margaret Anne Shaw, RN, PNP-BC
• Sheldon Soble DPM
• Hong Feng Shi, CSA
• Ah Rim Shin, MD
• Hyung Ju Shin, M.D.
• Matthew Dorsey Shugart, APC

• Professional Counselor in Tucker, GA
• Providers in Tucker, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.