SHALUNDRAH MCINTIRE
NPI 1326588104
Nurse Practitioner - Family in Ellenwood, GA
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
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shalundrah Mcintire reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ellenwood, GA 30294
- Reassigned Medicare billing, Georgia enrollment
- 132 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Georgia enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Shalundrah Mcintire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shalundrah Mcintire reassigns Medicare benefits to 2 organizations: Aylo Health, LLC (Ellenwood, GA) and Applebaum Physiatry PLLC (Oak Brook, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shalundrah Mcintire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shalundrah Mcintire was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Shalundrah Mcintire · NPI 1326588104
Family physician in Ellenwood, Georgia. Individual provider, active in the CMS NPPES registry since February 28, 2017.
## Identity
- **NPI:** 1326588104 (Entity type: Individual)
- **Enumerated:** February 28, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN223627 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4475 W VILLAGE PKWY, Ellenwood, GA 30294-2869
- **Phone:** (770) 507-7950 · **Fax:** (716) 710-8082
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aylo Health, LLC (NPI 1447290218, Ellenwood, GA); Applebaum Physiatry PLLC (NPI 1700598059, Oak Brook, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1326588104) · Data from the CMS NPPES public registry.