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DR. SHANTELISE MONIQUE DICKEY DNP, CPNP-PC
NPI 1679138655
Nurse Practitioner - Pediatrics in Thomaston, GA

Active since May 06, 2019
300 HOWELL ST, THOMASTON, GA 30286(706) 975-8662 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shantelise Monique Dickey Dnp, Cpnp-pc NPPES

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

DR. SHANTELISE MONIQUE DICKEY DNP, CPNP-PC (NPI 1679138655) is an individual pediatrics provider in Thomaston, Georgia, licensed in Georgia (RN199300) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1679138655
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. SHANTELISE MONIQUE DICKEYCredential: DNP, CPNP-PC
Location Address300 HOWELL STThomaston, GA 30286-5402
Mailing Address300 Howell StThomaston, GA 30286-5402 · (706) 975-8662 · Fax (706) 646-5069
Phone(706) 975-8662
Sole ProprietorNo
Enumeration DateMay 6, 2019
✔ NPI 1679138655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN199300
300 HOWELL ST, Thomaston, GA 30286
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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 Shantelise Dickey's NPI number?

The NPI number for Shantelise Dickey is 1679138655. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Shantelise Dickey located?

Shantelise Dickey practices at 300 Howell St, Thomaston, GA 30286. The listed phone number is (706) 975-8662.

What is Shantelise Dickey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Shantelise Dickey was last updated on May 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.