SHONTIAYA S. PATTERSON FNP - NPI 1063762870 - Nurse Practitioner in Riverdale, GA

Q: What is Shontiaya Patterson's NPI number?

The NPI number for Shontiaya Patterson is 1063762870. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Q: What is Shontiaya Patterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Shontiaya S. Patterson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHONTIAYA S. PATTERSON FNP (NPI 1063762870) is an individual family provider in Riverdale, Georgia, licensed in Georgia (RN219785) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063762870

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHONTIAYA S. PATTERSONCredential: FNP

Location Address1324 HIGHWAY 138 SWRiverdale, GA 30296-1404

Mailing Address141 Watkins Glen DrMcdonough, GA 30252-4061 · (770) 309-8302

Phone(770) 907-4949

Fax(770) 907-4022

Sole ProprietorNo

Enumeration DateSeptember 19, 2012

Last NPPES UpdateDecember 3, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1063762870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN219785

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License RN219785 (GA)

1324 HIGHWAY 138 SW, Riverdale, GA 30296

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Secondary Practice Locations 2

Location 1175 Gwinnett DrLawrenceville, GA 30046-8444 · Phone (770) 339-2395 · Fax (678) 990-3997

Location 2559 Flat Shoals Ave SEAtlanta, GA 30316-2027 · Phone (770) 907-4949

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shontiaya S. Patterson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30296 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE PLESHETTE COOK FNP-C

Nurse Practitioner (Family)