MRS. SHANTA WADE APRN
NPI 1295563278
Nurse Practitioner - Family in Griffin, GA
About Mrs. Shanta Wade Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANTA WADE APRN (NPI 1295563278) is an individual family provider in Griffin, Georgia, licensed in Georgia (RN261484) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Shanta Wade Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shanta Wade's NPI number?
The NPI number for Shanta Wade is 1295563278. It was assigned to this individual provider in the NPPES registry on July 23, 2024.
Where is Shanta Wade located?
Shanta Wade practices at 619 S 8th St Ste 100, Griffin, GA 30224. The listed phone number is (678) 248-2899.
What is Shanta Wade's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shanta Wade enrolled in Medicare?
Yes. Shanta Wade is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shanta Wade was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Shanta Wade, APRN · NPI 1295563278
Family physician in Griffin, Georgia. Individual provider, active in the CMS NPPES registry since July 23, 2024.
## Identity
- **NPI:** 1295563278 (Entity type: Individual)
- **Enumerated:** July 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN261484 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 619 S 8TH ST STE 100, Griffin, GA 30224-4260
- **Phone:** (678) 248-2899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295563278) · Data from the CMS NPPES public registry.