Active NPI
Shialla Deneen Warren, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN257957
- Practice address
- 4760 Austell Rd Ste 5
Austell, GA 30106-2007 - Phone
- (404) 595-8722
- Fax
- (678) 737-1432
- NPI assigned
- May 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN257957 | GA | Primary |
Addresses
Primary practice location
4760 Austell Rd Ste 5
Austell, GA 30106-2007
Mailing address
4760 Austell Rd Ste 5
Austell, GA 30106-2007
Phone (404) 595-8722
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629000343 | GA | Practitioner - Nurse Practitioner | 3476954470 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D L Murray MD PC | Current | Accepting new patients | |
| Acacia Recovery Community Helpers | Current | Accepting new patients | |
| Transit Home Care Consultants, LLC | Current | Accepting new patients | |
| Empowered Minds Behavioral | Psychiatric/Mental Health | Current | Accepting new patients |
| Resilient Minds Collective LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
920 Dannon Vw SW
Ste 3103
Atlanta, GA 30331
Phone (404) 549-9471
4760 Austell Rd
Ste 13
Austell, GA 30106
Phone (678) 464-4636
4760 Austell Rd
Ste 5
Austell, GA 30106
Phone (404) 595-8722
4760 Austell Rd
Ste 1
Austell, GA 30106
Phone (404) 549-9471
12461 Veterans Memorial Hwy
Ste 805
Douglasville, GA 30134
Phone (404) 595-8722
3626 Old Oakwood Rd
Oakwood, GA 30566
Phone (770) 287-8953
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Austell, GA
- NPI 1427787720
GA, Psychiatric/Mental Health
-
- Substance Abuse Rehabilitation Facility
- Austell, GA
- NPI 1013725324
GA
-
- Psychiatric/Mental Health Nurse Practitioner
- Austell, GA
- NPI 1447124367
GA, Psychiatric/Mental Health
-
- Primary Care Nurse Practitioner
- Atlanta, GA
- NPI 1548843006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1962078089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 AUSTELL RD STE 5",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062007",
"telephone_number": "404-595-8722",
"fax_number": "678-737-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 AUSTELL RD STE 5",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062007",
"telephone_number": "404-595-8722",
"fax_number": "678-737-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "SHIALLA",
"middle_name": "DENEEN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-30",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN257957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.