MRS. ANDRE SHINABARGER (NPI# 1942417480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942417480 |
| Entity Type | Individual |
| Full Name | MRS. ANDRE SHINABARGER |
| Credential | PA-C |
| Practice Address |
30 Warren St Se Atlanta GA 30317-2267 |
| Mailing Address |
490 East Side Ave Se Atlanta GA 30316 |
| Practice Telephone | 4046169304 |
| Mailing Telephone | 6787876190 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5013 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 WARREN ST SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30317-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082524 | Mary Virginia Acklin | Nurse Practitioner | 30 Warren St Se, Dekalb Grady Clinic, Atlanta, GA 30317-2267 | 2006-07-28 |
| 1790946325 | Yolanda Washington Tapp | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2008-06-17 |
| 1730305004 | Meridian Education Resource Group, Inc. | Clinic/Center | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-17 |
| 1437271095 | Carolyn W Brewster | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-04 |
| 1790806016 | Sherri Arnise Okpodu | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-03 |
| 1699809970 | Samuel W. Dooley Jr. | Internal Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-03-16 |
| 1891829883 | Henry Slater Kahn | Internal Medicine | 30 Warren St Se, Dekalb Grady Neighborhood Health Center, Atlanta, GA 30317-2267 | 2007-03-14 |
| 1508912809 | Weigong Zhou | Family Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-01-27 |
| 1396809216 | Betty Neal | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-12-22 |
| 1659433696 | Amina Porter | Counselor | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391395 | Tara Lozano Thrutchley | Counselor | 2033 Hosea L Williams Drive Ne, Suite 2, Atlanta, GA 30317 | 2019-11-26 |
| 1689052326 | Pharmworks Group LLC | Pharmacy | 1860 Memorial Dr Se, Atlanta, GA 30317 | 2015-05-14 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1548228034 | Yuri Okuizumi Wu | Pediatrics | 35 Whitefoord Ave Se, Atlanta, GA 30317 | 2006-05-03 |
| 1093052359 | Third Day Ministry | Religious Nonmedical Practitioner | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1548215254 | Adrian Gendell Bonser | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-23 |
| 1245284041 | Magdy Attia | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-19 |
| 1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
| 1942837125 | Kathryn Caracappa Boulet | Counselor | 1942 Delano Dr Ne, Atlanta, GA 30317-1009 | 2020-03-26 |
| Find all providers in zip 30317 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1083227821 | Jessica Haley Senft | Physician Assistant | 4274 Olde Mill Ln Ne, Atlanta, GA 30342-3400 | 2020-08-30 |
| 1801405758 | Philip Sangster | Physician Assistant | 3485 Greystone Cir, Atlanta, GA 30341-5854 | 2020-07-27 |
| 1114544525 | Nicole Warner | Physician Assistant | 1100 Faith Ave Se, Atlanta, GA 30316-1504 | 2020-07-01 |
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1972125557 | Karen Charisse Forbes | Physician Assistant | 1600 Clifton Rd Ne # H16-1, Atlanta, GA 30329-4018 | 2020-05-17 |
| 1588290316 | Julie Teresa Lovelly | Physician Assistant | 1220 Caroline St Ne Ste A-230, Atlanta, GA 30307-2749 | 2020-03-12 |
| 1104463645 | Hannah Elyse Galvan | Physician Assistant | 550 Peachtree St Ne Bldg Rm3245a, Atlanta, GA 30308-2247 | 2019-12-03 |
| 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.