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

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: July 19, 2026.

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
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

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

The NPI number assigned to this healthcare provider is 1447136122, enumerated as an "organization" on August 15, 2025.

The provider is located at 1523 GREAT SHOALS CIR LAWRENCEVILLE, GA 30045 and the phone number is (404) 800-0397.

Nurse Practitioner with taxonomy code 363L00000X.