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RUTH-ANN SAMANTHA SHACKLEFORD
NPI 1568331767
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA

Active since November 04, 2025
311 GWINNETT DR, LAWRENCEVILLE, GA 30046(770) 910-9196 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ruth-ann Samantha Shackleford NPPES

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

RUTH-ANN SAMANTHA SHACKLEFORD (NPI 1568331767) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (APRN-NP287472) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1568331767
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRUTH-ANN SAMANTHA SHACKLEFORD
Location Address311 GWINNETT DRLawrenceville, GA 30046-5629
Mailing Address311 Gwinnett DrLawrenceville, GA 30046-5629 · (770) 910-9196
Phone(770) 910-9196
Sole ProprietorNo
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1568331767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · APRN-NP287472
311 GWINNETT DR, Lawrenceville, GA 30046
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Other Providers at the Same Location NPPES 8

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

CURTIS JAMES ATKINS LPC
Counselor (Mental Health)
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 910-9196
CHRISTINE WILSON WITTER FNP-C
Nurse Practitioner
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 940-3504
SALVEO INTEGRATIVE HEALTH
Psychiatry & Neurology (Psychiatry)
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 910-9196
ANNJEANEN TRISA SMITH LPC
Counselor (Professional)
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 910-9196
KRIS MAGPANTAY PA-C
Physician Assistant (Medical)
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 910-9196
TAYA DARLING RN
Registered Nurse
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 718-8879
REBECCA ANNE BOOKER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 910-9196
MARY OMOROGBE
Nurse Practitioner (Psychiatric/Mental Health)
311 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 507-7212

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 Ruth-ann Shackleford's NPI number?

The NPI number for Ruth-ann Shackleford is 1568331767. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Where is Ruth-ann Shackleford located?

Ruth-ann Shackleford practices at 311 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (770) 910-9196.

What is Ruth-ann Shackleford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ruth-ann Shackleford was last updated on November 4, 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.