SHANE WHEELUS (NPI# 1760967004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760967004 |
| Entity Type | Individual |
| Full Name | SHANE WHEELUS |
| Credential | AGACNP-BC |
| Practice Address |
550 Peachtree St Ne Dept Of Atlanta GA 30308-2247 |
| Mailing Address |
3094 Sawgrass Trl Sw Lilburn GA 30047-1861 |
| Practice Telephone | 4046864411 |
| Mailing Telephone | 7703100756 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN182869 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 PEACHTREE ST NE DEPT OF |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497706931 | John Edward Lewis Jr. | Emergency Medicine | 550 Peachtree St Ne Dept Of, Atlanta, GA 30308-2247 | 2006-05-12 |
| 1992965677 | Faisal Khosa | Radiology | 550 Peachtree St Ne Dept Of, Euhm, Emergency Radiology Division., Atlanta, GA 30308-2247 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636941 | Pamela Patrice Ward | Nurse Practitioner | 789 Hammond Dr Apt 1706, Atlanta, GA 30328-8156 | 2020-07-07 |
| 1124640586 | Lana Wassim Hojeij | Nurse Practitioner | 67 28th St Nw, Atlanta, GA 30309-1842 | 2020-05-08 |
| 1346874021 | Monique Sims Breland | Nurse Practitioner | 993d Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1602 | 2020-03-03 |
| 1245860634 | Christy Michelle Apple | Nurse Practitioner | 1900 Chancery Ln, Atlanta, GA 30341-1010 | 2020-01-24 |
| 1366008237 | Melissa Lee Hallman | Nurse Practitioner | 1421 Peachtree St Ne Ste A, Atlanta, GA 30309-3040 | 2019-05-15 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1770098717 | Tracy Michelle Shelton | Nurse Practitioner | 550 Peachtree St Ne Bldg 3245-a, Atlanta, GA 30308-2247 | 2017-12-13 |
| 1013457845 | Phung Ngoc Lu | Nurse Practitioner | 550 Peachtree Street -, Davis Fischer Building Office 3245a, Atlanta, GA 30308 | 2017-02-27 |
| 1386197457 | Elizabeth Carrington Mitchell | Nurse Practitioner | 373 Brooks Ave Ne, Atlanta, GA 30307-2141 | 2016-07-25 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.