SHALEACIA SHIPMAN
NPI 1154888147
Nurse Practitioner - Pediatrics in Carrollton, GA

Q: What is Shaleacia Shipman's NPI number?

The NPI number for Shaleacia Shipman is 1154888147. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Q: What is Shaleacia Shipman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shaleacia Shipman was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 February 26, 2019PECOS Enrolled

706 DIXIE ST STE 220, CARROLLTON, GA 30117(770) 812-8825(770) 812-5910 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Feb 26, 2019 (2 updates tracked since 2019).

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About Shaleacia Shipman NPPES

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

SHALEACIA SHIPMAN (NPI 1154888147) is an individual pediatrics provider in Carrollton, Georgia, licensed in Georgia (APRN-NP258244) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154888147

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHALEACIA SHIPMAN

Location Address706 DIXIE ST STE 220Carrollton, GA 30117-3889

Mailing Address706 Dixie St Ste 220Carrollton, GA 30117-3889 · (770) 812-8825 · Fax (770) 812-5910

Phone(770) 812-8825

Fax(770) 812-5910

Sole ProprietorNo

Enumeration DateFebruary 26, 2019

Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1154888147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in GA · APRN-NP258244

706 DIXIE ST STE 220, Carrollton, GA 30117

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Other Identifiers 1

OtherRN258244GA · Ga State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaleacia Shipman 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 30117 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 8

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

SAVANNAH TURNER TAYLOR

Nurse Practitioner (Family)