KEYANNI JHAMIA SHAW DDS
NPI 1083176275
Dentist in Douglasville, GA

Q: What is Keyanni Shaw's NPI number?

The NPI number for Keyanni Shaw is 1083176275. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Q: What is Keyanni Shaw's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Keyanni Shaw was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 05, 2019

6351 DOUGLAS BLVD, DOUGLASVILLE, GA 30135(404) 267-0400 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2021, Jul 30, 2020, Apr 5, 2019 (3 updates tracked since 2019).

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About Keyanni Jhamia Shaw Dds NPPES

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

KEYANNI JHAMIA SHAW DDS (NPI 1083176275) is an individual dentist in Douglasville, Georgia, licensed in Georgia (DN122281) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1083176275

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKEYANNI JHAMIA SHAWCredential: DDS

Location Address6351 DOUGLAS BLVDDouglasville, GA 30135-7102

Mailing Address11409 Panhandle RdHampton, GA 30228-1504 · (770) 572-4915

Phone(404) 267-0400

Sole ProprietorYes

Enumeration DateApril 5, 2019

Last NPPES UpdateJuly 22, 20213 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1083176275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN122281

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DGD.9664 (SC)

6351 DOUGLAS BLVD, Douglasville, GA 30135

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. MARNITA LOVE STEVENSON D.D.S.

Dentist

6351 DOUGLAS BLVD
DOUGLASVILLE, GA 30135

Douglas County (770) 577-9478

LOVE YOUR SMILE LLC

Dentist

6351 DOUGLAS BLVD
DOUGLASVILLE, GA 30135

Douglas County (404) 267-0400

DR. RHODA-LEANN BALLENTINE NORRIS D.M.D.

Dentist (General Practice)

6351 DOUGLAS BLVD
DOUGLASVILLE, GA 30135

Douglas County (770) 577-9478

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 Keyanni Shaw's NPI number?

The NPI number for Keyanni Shaw is 1083176275. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Keyanni Shaw located?

Keyanni Shaw practices at 6351 Douglas Blvd, Douglasville, GA 30135. The listed phone number is (404) 267-0400.

What is Keyanni Shaw's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Keyanni Shaw accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 14 other insurers list Keyanni Shaw 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 Keyanni Shaw was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.