Active NPI
Shogofa Halimi, NP
- Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN257906
- Practice address
- 115 Cherry St NE
Marietta, GA 30060-7205 - Phone
- (770) 793-5700
- NPI assigned
- Dec 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN257906 | GA | |
| Nurse Practitioner | 363L00000X | RN257906 | GA | Primary |
Addresses
Primary practice location
115 Cherry St NE
Marietta, GA 30060-7205
Mailing address
115 Cherry St NE
Marietta, GA 30060-7205
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12201 Hwy 92
Suite D
Woodstock, GA 30188-7141
Phone (770) 517-4621
1550 Kennesaw Due W Rd NW
Kennesaw, GA 30152-4338
1810 White Cir
Suite 105
Marietta, GA 30066-5836
Phone (678) 797-6820
2890 Delk Serd
Marietta, GA 30067-5326
Phone (770) 955-8620
3600 Sandy Plains Rd
Marietta, GA 30066-3020
Phone (770) 977-4547
4477 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-6720
Phone (770) 249-5620
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
5655 Atlanta Hwy
Alpharetta, GA 30004-5208
Phone (770) 691-0819
780 Church St NE
Marietta, GA 30060-7269
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN257906 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1810 White Cir
Ste 105
Marietta, GA 30066
Phone (678) 797-6820
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1942079504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CHERRY ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CHERRY ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607205",
"telephone_number": "770-793-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALIMI",
"first_name": "SHOGOFA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-25",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN257906",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN257906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.