MR. SHAWN THURSTON FNP-C
NPI 1326883273
Nurse Practitioner in Royston, GA

Q: What is Shawn Thurston's NPI number?

The NPI number for Shawn Thurston is 1326883273. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Q: What is Shawn Thurston'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 Shawn Thurston was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment

132 FRANKLIN SPRINGS ST, ROYSTON, GA 30662(706) 621-7555 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Shawn Thurston Fnp-c NPPES

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

MR. SHAWN THURSTON FNP-C (NPI 1326883273) is an individual nurse practitioner in Royston, Georgia, licensed in Georgia (300310) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Poplar Community Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326883273

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. SHAWN THURSTONCredential: FNP-C

Location Address132 FRANKLIN SPRINGS STRoyston, GA 30662-4134

Mailing Address77 Booger Hill RdDanielsville, GA 30633-6213 · (850) 376-8501

Phone(706) 621-7555

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 1, 2024

Last NPPES UpdateJuly 2, 2024

NPPES CertifiedJuly 2, 2024

✔ NPI 1326883273 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 · 300310

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.

132 FRANKLIN SPRINGS ST, Royston, GA 30662

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Mr. Shawn Thurston Fnp-c 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 ID749714715

PECOS Enrollment IDI20241113002237, I20250714001123

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.

Medicare Billing Reassignments

Medicare enrollment records show Shawn Thurston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Health Medical Ga PC

71 mi

Family Medicine

300 COLONIAL CENTER PKWY STE 100N
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
11 clinicians in this Medicare group

NPI 1881302305 (718) 534-0689

Georgia Primary Care Partners, LLC

191 mi

Primary Care

60 EXCHANGE ST STE B7
Richmond Hill, GA 31324

Reassigned Medicare billing, Georgia enrollment
18 clinicians in this Medicare group

NPI 1144084856 (912) 756-2273

Us Health Dept Of Health & Human Services

1,431 mi

Rural Health

107 H STREET EAST
Poplar, MT 59255

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: U S Health Dept Of Health & Human Services
306 clinicians in this Medicare group

NPI 1972694602 (406) 768-3491

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

17 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Poplar Community Hospital

Critical Access Hospitals · Poplar, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271300

Location211 H St EPoplar, MT 59255 · Roosevelt County

Emergency services

Frances Mahon Deaconess Hospital

Critical Access Hospitals · Glasgow, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271316

Location621 3rd St SGlasgow, MT 59230 · Valley County

Emergency services

Trinity Hospital

Critical Access Hospitals · Wolf Point, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271341

Location315 Knapp StWolf Point, MT 59201 · Roosevelt County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30662 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 7

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

DR. ASHOK KANCHARLA M.D.

Internal Medicine