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MRS. AMANDA ELIZABETH SHAW
NPI 1104216639
Nurse Practitioner - Family in Dallas, GA

Active since February 04, 2015
495 CHARLES HARDY PKWY, DALLAS, GA 30157(770) 445-2128 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2020, Feb 24, 2016 (2 updates tracked since 2016).

About Mrs. Amanda Elizabeth Shaw NPPES

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

MRS. AMANDA ELIZABETH SHAW (NPI 1104216639) is an individual family provider in Dallas, Georgia, licensed in Georgia (RN210233) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1104216639
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMANDA ELIZABETH SHAW
Location Address495 CHARLES HARDY PKWYDallas, GA 30157-5723
Mailing Address495 Charles Hardy PkwyDallas, GA 30157-5723 · (770) 445-2128
Phone(770) 445-2128
Sole ProprietorNo
Enumeration DateFebruary 4, 2015
Last NPPES UpdateFebruary 9, 20202 updates tracked since enumeration
✔ NPI 1104216639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN210233
495 CHARLES HARDY PKWY, Dallas, GA 30157
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Other Providers at the Same Location NPPES 20

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

KAREN F FRAZIER
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (770) 231-4783
ANKIT PATEL
Pharmacist
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (770) 445-2128
MS. KURENAI POISSON PHARMD
Pharmacist
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (770) 445-2128
ANGELA FOREMAN RANEY FNP
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (770) 445-2128
RAYMOND LAWRENCE GAINES JR.
Pharmacist
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (770) 445-2128
TALJA SHARRA FLETCHER NP
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (770) 445-2128
JASMINE TOMEKIA BURNS FNP
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (866) 389-2727
JANKI PATEL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Paulding County (770) 445-2128

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 Amanda Shaw's NPI number?

The NPI number for Amanda Shaw is 1104216639. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Where is Amanda Shaw located?

Amanda Shaw practices at 495 Charles Hardy Pkwy, Dallas, GA 30157. The listed phone number is (770) 445-2128.

What is Amanda Shaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Shaw was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.