SHINING LIGHT BEHAVIOR HEALTH SERVICES
NPI 1447136122
Nurse Practitioner in Lawrenceville, GA

Q: What is Shining Light Behavior Health Services's specialty?

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

Active since August 15, 2025

1523 GREAT SHOALS CIR, LAWRENCEVILLE, GA 30045(404) 800-0397 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shining Light Behavior Health Services NPPES

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

SHINING LIGHT BEHAVIOR HEALTH SERVICES (NPI 1447136122) is a healthcare organization registered as a nurse practitioner in Lawrenceville, Georgia and active in the NPI registry since August 2025. The organization lists Reginald Drumgoole, Owner, as its authorized official.

NPPES Registry Identity

NPI1447136122

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSHINING LIGHT BEHAVIOR HEALTH SERVICES

Location Address1523 GREAT SHOALS CIRLawrenceville, GA 30045-7098

Mailing Address1523 Great Shoals CirLawrenceville, GA 30045-7098 · (404) 800-0397

Phone(404) 800-0397

Organization SubpartNo

Authorized OfficialReginald DrumgooleOwner · (404) 800-0397

Enumeration DateAugust 15, 2025

NPPES CertifiedAugust 15, 2025

✔ NPI 1447136122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

1523 GREAT SHOALS CIR, Lawrenceville, GA 30045

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Shining Light Behavior Health Services's NPI number?

The NPI number for Shining Light Behavior Health Services is 1447136122. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is Shining Light Behavior Health Services located?

Shining Light Behavior Health Services is located at 1523 Great Shoals Cir, Lawrenceville, GA 30045. The listed phone number is (404) 800-0397.

What is Shining Light Behavior Health Services'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 Shining Light Behavior Health Services was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.