Shavon Poag

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

122 N McDonough St
Jonesboro, GA 30236-3023

Phone

(470) 364-7186

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Paramount Care Solutions LLC

  • Homemaker
  • Orlando, FL
  • NPI 1831045327
  NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1912673245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OLD DOGWOOD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387514",
            "telephone_number": "470-364-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N MCDONOUGH ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363023",
            "telephone_number": "470-364-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAG",
        "first_name": "SHAVON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-04-30",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Screening Solutions
• Shurma Maureen Pitt, NP
• Sholah P Pittman, MD
• Lakisha Monae Plair
• Pledge Solutions Transportation
• Shameka Rena Pointer
• Rosalind Maria Polk-Hall, MA, LPC
• Aja' Elaine Pollard, M.D.
• Joshua Poole
• Surrell Porter

• Prosthetics Case Management in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.