Organization Active NPI

Shellys Wright Choice LLC

  • In Home Supportive Care Agency
  • McDonough, GA
National Provider Identifier
1952986325
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHELLYS WRIGHT CHOICE LLC
Practice address
1731 Highway 42 N
McDonough, GA 30253-4725
Phone
(678) 918-9955
Fax
(470) 412-6027
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Authorized official

Name
Kyisha WrightNPI 1447831797
Title
Ceo
Phone
(678) 243-0352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1731 Highway 42 N
McDonough, GA 30253-4725

Mailing address

1731 Highway 42 N
McDonough, GA 30253-4725
Phone (678) 918-9955

Other identifiers 1

IdentifierTypeStateIssuer
003263327AMedicaidGA

Other names 1

  • Shellys Wright Choice Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwright1@shellysagency.com Direct

National Provider Directory

National Provider Directory

Locations

1731 Highway 42 N
McDonough, GA 30253
Phone (678) 918-9955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657411200000",
    "number": "1952986325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 HIGHWAY 42 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534725",
            "telephone_number": "678-918-9955",
            "fax_number": "470-412-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 HIGHWAY 42 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534725",
            "telephone_number": "678-918-9955",
            "fax_number": "470-412-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLYS WRIGHT CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KYISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-243-0352"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003263327A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwright1@shellysagency.com",
            "affiliation": "N",
            "endpointDescription": "Private Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1731 Highway 42 N",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302534725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shellys Wright Choice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shellys Wright Choice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.