Shalia Shani Gregory, FNP-C
Nurse Practitioner, Family in Tucker, GA. Individual provider (NPI-1).
Details
- NPI
- 1275964447
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shalia Shani Gregory
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2013
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN201437 | GA | Yes |
| 363L00000X | Nurse Practitioner | RN201437 | GA |
Practice location
4424 Hugh Howell Rd Ste DTucker, GA 30084-4905
Phone 404-692-4466 · Fax 415-252-7176
Mailing address
4424 Hugh Howell Rd Ste DTucker, GA 30084-4905
Phone 404-692-4466 · Fax 415-252-7176
Other practice locations
Decatur, GA 30033-2512
Phone 770-496-5555 · Fax 770-939-2887
Atlanta, GA 30309-3574
Phone 866-949-0108
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Family Nurse Practitioner providers in Tucker · All 1,463 providers in Tucker
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