Active NPI
Shannon K Gardner
- Social Worker
- Macon, GA
National Provider Identifier
1992663801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW010907
- Practice address
- 116 Pierce Ave
Macon, GA 31204-2891 - Phone
- (478) 464-3001
- NPI assigned
- Jan 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW010907 | GA | Primary |
Addresses
Primary practice location
116 Pierce Ave
Macon, GA 31204-2891
Mailing address
116 Pierce Ave
Macon, GA 31204-2891
Phone (478) 464-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW010907 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1992663801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 PIERCE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312042891",
"telephone_number": "478-464-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 PIERCE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312042891",
"telephone_number": "478-464-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "SHANNON",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW010907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.