Individual provider Active NPI

Shialla Deneen Warren, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Austell, GA
National Provider Identifier
1962078089
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN257957 Issued in GA
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

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
D L Murray MD PC CurrentSince Jul 19, 2021 Accepting new patients
Acacia Recovery Community Helpers CurrentSince May 3, 2025 Accepting new patients
Transit Home Care Consultants, LLC CurrentSince Nov 27, 2022 Accepting new patients
Empowered Minds Behavioral Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Resilient Minds Collective LLC Psychiatric/Mental Health CurrentSince Feb 20, 2025 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.

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

Verify at the official NPI Registry.