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MARY MADELINE SHATTLES NP
NPI 1225969280
Nurse Practitioner - Family in Blakely, GA

Active since May 28, 2026
2752 CUBA RD, BLAKELY, GA 39823(229) 308-8857 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Madeline Shattles Np NPPES

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

MARY MADELINE SHATTLES NP (NPI 1225969280) is an individual family provider in Blakely, Georgia, licensed in Georgia (NP238777) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1225969280
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MADELINE SHATTLESCredential: NP
Location Address2752 CUBA RDBlakely, GA 39823-6508
Mailing Address2752 Cuba RdBlakely, GA 39823-6508 · (229) 308-8857
Phone(229) 308-8857
Sole ProprietorNo
Enumeration DateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1225969280 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 · NP238777
2752 CUBA RD, Blakely, GA 39823
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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 Mary Shattles's NPI number?

The NPI number for Mary Shattles is 1225969280. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Mary Shattles located?

Mary Shattles practices at 2752 Cuba Rd, Blakely, GA 39823. The listed phone number is (229) 308-8857.

What is Mary Shattles'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 Mary Shattles was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.