SHACORA TRAVIS
NPI 1245774025
Contractor in Quitman, GA

Active since December 13, 2016
1200 CARNEY ROAD, QUITMAN, GA 31643(229) 305-0802 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shacora Travis NPPES

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

SHACORA TRAVIS (NPI 1245774025) is an individual contractor provider in Quitman, Georgia and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1245774025
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameSHACORA TRAVIS
Location Address1200 CARNEY ROADQuitman, GA 31643
Mailing Address1200 Carney RoadQuitman, GA 31643 · (229) 305-0802
Sole ProprietorYes
Enumeration DateDecember 13, 2016
NPI 1245774025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1200 CARNEY ROAD, Quitman, GA 31643

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 Shacora Travis's NPI number?

The NPI number for Shacora Travis is 1245774025. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Shacora Travis located?

Shacora Travis practices at 1200 Carney Road, Quitman, GA 31643. The listed phone number is (229) 305-0802.

What is Shacora Travis's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Shacora Travis was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.