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SHAWNA M BERG FNP
NPI 1598047730
Nurse Practitioner in Carrollton, GA

Active since September 14, 2011PECOS Enrolled
820 MAPLE ST, CARROLLTON, GA 30117(678) 390-7915(678) 390-7901 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2025, Mar 17, 2018, Dec 13, 2017 (3 updates tracked since 2017).

About Shawna M Berg Fnp NPPES

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

SHAWNA M BERG FNP (NPI 1598047730) is an individual nurse practitioner in Carrollton, Georgia, licensed in Georgia (RN113194) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bremen.

NPPES Registry Identity

NPI1598047730
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHAWNA M BERGCredential: FNP
Location Address820 MAPLE STCarrollton, GA 30117-3626
Mailing Address222 Gordon StBremen, GA 30110-1519 · (770) 537-1234 · Fax (770) 537-1237
Phone(678) 390-7915
Fax(678) 390-7901
Sole ProprietorNo
Enumeration DateSeptember 14, 2011
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1598047730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN113194
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN113194 (GA)
820 MAPLE ST, Carrollton, GA 30117
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Other Names 1

Former Name (1)Shawna M Poulnott

Secondary Practice Location 1

Location 11009 Alabama Ave SBremen, GA 30110-2501 · Phone (678) 821-6400 · Fax (678) 821-6401

Other Identifiers 1

Other1861915647GA · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 (PECOS)

Shawna M Berg Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Shawna Berg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

3:16 Urgent Care LLC
9.2 mi
Urgent Care
1009 ALABAMA AVE S
Bremen, GA 30110
  • Reassigned Medicare billing, Georgia enrollment
  • 20 clinicians in this Medicare group
NPI 1295695781 (678) 821-6400
316 Family Medicine
11 mi
Family Medicine
222 GORDON ST
Bremen, GA 30110
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1861915647 (770) 537-1234
Tmc Immediate Care, Inc
15 mi
Urgent Care
101 QUARTZ DR, SUITE 101
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1386708097 (770) 949-7500
Peachtree Immediate Care Fp, LLC
29 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900

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 30117 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%227 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$66.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. KENNETH L BOSS MD
Family Medicine
820 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 390-7915
STUART SMITH PA-C
Physician Assistant
820 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 390-7915
JENNIFER L DENSMORE NP
Nurse Practitioner (Primary Care)
820 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 390-7900

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 Shawna Berg's NPI number?

The NPI number for Shawna Berg is 1598047730. It was assigned to this individual provider in the NPPES registry on September 14, 2011. The provider is also known as Shawna M Poulnott.

Where is Shawna Berg located?

Shawna Berg practices at 820 Maple St, Carrollton, GA 30117. The listed phone number is (678) 390-7915.

What is Shawna Berg's specialty?

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

Is Shawna Berg enrolled in Medicare?

Yes. Shawna Berg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shawna Berg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawna Berg reassigns Medicare benefits to 4 organizations: 3:16 Urgent Care LLC (Bremen, GA), 316 Family Medicine (Bremen, GA), Tmc Immediate Care, Inc (Villa Rica, GA) and Peachtree Immediate Care Fp, LLC (Hiram, GA). 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 Shawna Berg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawna Berg accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Shawna Berg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawna Berg was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.