Shanel Tage
Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).
Details
- NPI
- 1316628183
- Entity type
- Individual (NPI-1)
- Name
- Shanel Tage
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 25, 2023
- Last updated
- Jul 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
720 Westview Dr SwAtlanta, GA 30310-1458
Phone 404-752-1500
Mailing address
720 Westview Dr SwAtlanta, GA 30310-1458
Phone 404-752-1500
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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