NIKKY SHOTWELL DDS
NPI 1679993430
Dentist - Pediatric Dentistry in Atlanta, GA

Active since April 21, 2014PECOS Enrolled
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342(404) 785-2072(404) 785-5892 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About Nikky Shotwell Dds NPPES

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

NIKKY SHOTWELL DDS (NPI 1679993430) is an individual pediatric dentistry provider in Atlanta, Georgia, licensed in Georgia (DN014728) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679993430
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameNIKKY SHOTWELLCredential: DDS
Location Address5461 MERIDIAN MARK RD STE 200Atlanta, GA 30342-4014
Mailing Address5461 Meridian Mark Rd Ste 200Atlanta, GA 30342-4014 · (404) 785-2072 · Fax (404) 785-5892
Fax(404) 785-5892
Sole ProprietorNo
Enumeration DateApril 21, 2014
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPI 1679993430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in GA · DN014728
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5461 MERIDIAN MARK RD STE 200, Atlanta, GA 30342

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nikky Shotwell Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Dentist (Pediatric Dentistry)
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342
Dentist (Pediatric Dentistry)
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342
Student in an Organized Health Care Education/Training Program
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342
Dentist
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342
Dentist (General Practice)
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342
Dentist (Pediatric Dentistry)
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342
Surgery (Plastic and Reconstructive Surgery)
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342
Dentist
5461 MERIDIAN MARK RD STE 200
ATLANTA, GA 30342

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 Nikky Shotwell's NPI number?

The NPI number for Nikky Shotwell is 1679993430. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Nikky Shotwell located?

Nikky Shotwell practices at 5461 Meridian Mark Rd Ste 200, Atlanta, GA 30342. The listed phone number is (404) 785-2072.

What is Nikky Shotwell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Nikky Shotwell enrolled in Medicare?

Yes. Nikky Shotwell is registered in the Medicare PECOS enrollment system.

What insurance does Nikky Shotwell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Nikky Shotwell 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 Nikky Shotwell was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.