SHAN DAVID TULLY FNP-C
NPI 1275498131
Nurse Practitioner in Hiram, GA

Q: What is Shan Tully's NPI number?

The NPI number for Shan Tully is 1275498131. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Q: What is Shan Tully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shan Tully was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 22, 2025

6736 BILL CARRUTH PKWY APT 805, HIRAM, GA 30141(470) 330-0826 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shan David Tully Fnp-c NPPES

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

SHAN DAVID TULLY FNP-C (NPI 1275498131) is an individual nurse practitioner in Hiram, Georgia, licensed in Georgia (APRN-NP294893) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1275498131

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSHAN DAVID TULLYCredential: FNP-C

Location Address6736 BILL CARRUTH PKWY APT 805Hiram, GA 30141-3794

Mailing Address6736 Bill Carruth Pkwy Apt 805Hiram, GA 30141-3794 · (470) 330-0826

Phone(470) 330-0826

Sole ProprietorNo

Enumeration DateDecember 22, 2025

NPPES CertifiedDecember 22, 2025

✔ NPI 1275498131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · APRN-NP294893

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6736 BILL CARRUTH PKWY APT 805, Hiram, GA 30141

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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 Shan Tully's NPI number?

The NPI number for Shan Tully is 1275498131. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Shan Tully located?

Shan Tully practices at 6736 Bill Carruth Pkwy Apt 805, Hiram, GA 30141. The listed phone number is (470) 330-0826.

What is Shan Tully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Shan Tully was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.