TO OUR SHORES, INC
NPI 1639749054
Clinic/Center - Primary Care in Lawrenceville, GA

Active since June 28, 2021
250 LANGLEY DR STE 1101, LAWRENCEVILLE, GA 30046(770) 954-5997 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About To Our Shores, Inc NPPES

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

TO OUR SHORES, INC (NPI 1639749054) is a healthcare organization registered as a primary care in Lawrenceville, Georgia and active in the NPI registry since June 2021. The organization lists Miyesha Asatu Cheeks, Executive Director/fnp, as its authorized official.

NPPES Registry Identity

NPI1639749054
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTO OUR SHORES, INC
Location Address250 LANGLEY DR STE 1101Lawrenceville, GA 30046-6932
Mailing Address250 Langley Dr Ste 1101Lawrenceville, GA 30046-6932 · (917) 853-5056
Organization SubpartNo
Authorized OfficialMiyesha Asatu CheeksExecutive Director/fnp · (917) 853-5056
Enumeration DateJune 28, 2021
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1639749054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
250 LANGLEY DR STE 1101, Lawrenceville, GA 30046

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

To Our Shores, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to To Our Shores, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1316005523
250 LANGLEY DR STE 1101
Lawrenceville, GA 30046
(770) 954-5997
✔ PECOS✔ Accepts MedicareSame address

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

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 To Our Shores, Inc's NPI number?

The NPI number for To Our Shores, Inc is 1639749054. It was assigned to this organization in the NPPES registry on June 28, 2021.

Where is To Our Shores, Inc located?

To Our Shores, Inc is located at 250 Langley Dr Ste 1101, Lawrenceville, GA 30046. The listed phone number is (770) 954-5997.

What is To Our Shores, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is To Our Shores, Inc enrolled in Medicare?

Yes. To Our Shores, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through To Our Shores, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to To Our Shores, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for To Our Shores, Inc was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.