Active NPI
Shellys Wright Choice LLC
- In Home Supportive Care Agency
- McDonough, GA
National Provider Identifier
1952986325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyisha Wright
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003263327A | Medicaid | GA |
Other names 1
- Shellys Wright Choice
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwright1@shellysagency.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.