SHELLEYANN BEAUBRUN PMHNP
NPI 1083010961
Nurse Practitioner - Psychiatric/Mental Health in Covington, GA

Active since November 05, 2014PECOS Enrolled
4136 NEWTON DR NE, COVINGTON, GA 30014(770) 569-3205 Get Directions Write a Review

NPPES record last updated: April 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2024, Mar 2, 2020 (2 updates tracked since 2020).

About Shelleyann Beaubrun Pmhnp NPPES

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

SHELLEYANN BEAUBRUN PMHNP (NPI 1083010961) is an individual psychiatric/mental health provider in Covington, Georgia, licensed in Georgia (RN193787) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083010961
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHELLEYANN BEAUBRUNCredential: PMHNP
Location Address4136 NEWTON DR NECovington, GA 30014-2521
Mailing Address463 Silverton DrMcdonough, GA 30252-4222
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 5, 2014
Last NPPES UpdateApril 14, 20242 updates tracked since enumeration
NPPES CertifiedApril 14, 2024
✔ NPI 1083010961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN193787
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN193787 (GA)
4136 NEWTON DR NE, Covington, GA 30014

Secondary Practice Location 1

Location 11017 Fayetteville Rd SE Ste AAtlanta, GA 30316-2932 · Phone (404) 324-4191

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelleyann Beaubrun Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315263886
PECOS Enrollment IDI20150226001943
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shelleyann Beaubrun reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
4136 NEWTON DR NE
Covington, GA 30014
  • Reassigned Medicare billing, Georgia enrollment
Community/Behavioral Health
1017 FAYETTEVILLE ROAD, SUITE A
Atlanta, GA 30316
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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

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

Nurse Practitioner (Psychiatric/Mental Health)
4136 NEWTON DR NE
COVINGTON, GA 30014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelleyann Beaubrun's NPI number?

The NPI number for Shelleyann Beaubrun is 1083010961. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Where is Shelleyann Beaubrun located?

Shelleyann Beaubrun practices at 4136 Newton Dr NE, Covington, GA 30014. The listed phone number is (770) 569-3205.

What is Shelleyann Beaubrun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shelleyann Beaubrun enrolled in Medicare?

Yes. Shelleyann Beaubrun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelleyann Beaubrun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelleyann Beaubrun reassigns Medicare benefits to 3 organizations: Integrative Psychiatry Services (Covington, GA), Chris 180, Inc. (Atlanta, GA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelleyann Beaubrun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelleyann Beaubrun accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Shelleyann Beaubrun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelleyann Beaubrun was last updated on April 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.