Shatoya Lynae Silcott, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

904426 Issued in MS

Practice address

5905 Stewart Pkwy
Douglasville, GA 30135-2371

Phone

(770) 949-8082

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Douglas County Community Services Board

  • Community/Behavioral Health Agency
  • Douglasville, GA
  • NPI 1720128879
  NPD

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1922749308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 TREE CORNERS PKWY",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926174",
            "telephone_number": "228-217-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 STEWART PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352371",
            "telephone_number": "770-949-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILCOTT",
        "first_name": "SHATOYA",
        "middle_name": "LYNAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ssilcott@douglascountycsb.com",
            "affiliation": "N",
            "address_1": "5905 Stewart Pkwy",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301352371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Girish I Shroff, MD
• Nishant Girish Shroff, M.D.
• Kendra Genine Shuler Glover, M.S., CCC-SLP
• Armani Shuman
• Safia Siddiqui, MD
• Diana Simeon
• Desmiah Simmons, LAPC, NCC
• Whitney Simmons, PHARM.D.
• Matinah Simms, RBT
• Catherine Simon

• Psychiatric/Mental Health Registered Nurse in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.