SHALUNDRAH MCINTIRE
NPI 1326588104
Nurse Practitioner - Family in Ellenwood, GA

Active since February 28, 2017PECOS EnrolledAccepts Medicare Assignment
4475 W VILLAGE PKWY, ELLENWOOD, GA 30294(770) 507-7950(716) 710-8082 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2025, Feb 28, 2017 (2 updates tracked since 2017).

About Shalundrah Mcintire NPPES

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

SHALUNDRAH MCINTIRE (NPI 1326588104) is an individual family provider in Ellenwood, Georgia, licensed in Georgia (RN223627) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326588104
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHALUNDRAH MCINTIRE
Location Address4475 W VILLAGE PKWYEllenwood, GA 30294-2869
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116 · Fax (770) 955-4278
Fax(716) 710-8082
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 28, 2017
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1326588104 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 · RN223627
4475 W VILLAGE PKWY, Ellenwood, GA 30294

Secondary Practice Locations 2

Location 12200 Highway 155 N Ste 100McDonough, GA 30252-4846 · Phone (678) 490-0341 · Fax (678) 490-0349
Location 24192 Salem RdCovington, GA 30016-4532 · Phone (478) 334-3788

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shalundrah Mcintire is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709163488
PECOS Enrollment IDI20170505001507
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 30294 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 4

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

Physician Assistant (Medical)
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Non-Pharmacy Dispensing Site
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Physician Assistant
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Nurse Practitioner
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294

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 Shalundrah Mcintire's NPI number?

The NPI number for Shalundrah Mcintire is 1326588104. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Shalundrah Mcintire located?

Shalundrah Mcintire practices at 4475 W Village Pkwy, Ellenwood, GA 30294. The listed phone number is (770) 507-7950.

What is Shalundrah Mcintire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shalundrah Mcintire enrolled in Medicare?

Yes. Shalundrah Mcintire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shalundrah Mcintire was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.