Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY ATHANAELOS
NPI 1821941121
Nurse Practitioner in Evans, GA

Q: What is Shelby Athanaelos's NPI number?

The NPI number for Shelby Athanaelos is 1821941121. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Q: What is Shelby Athanaelos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Athanaelos was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since February 17, 2026

4350 TOWNE CENTRE DR STE 2200, EVANS, GA 30809(706) 722-0705(706) 722-7315 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Shelby Athanaelos NPPES

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

SHELBY ATHANAELOS (NPI 1821941121) is an individual nurse practitioner in Evans, Georgia, licensed in Georgia (GAA-NP005514) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1821941121

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHELBY ATHANAELOS

Location Address4350 TOWNE CENTRE DR STE 2200Evans, GA 30809-3346

Mailing Address4350 Towne Centre Dr Ste 2200Evans, GA 30809-3346 · (706) 722-0705 · Fax (706) 722-7315

Phone(706) 722-0705

Fax(706) 722-7315

Sole ProprietorNo

Enumeration DateFebruary 17, 2026

Last NPPES UpdateNovember 3, 2026

NPPES CertifiedNovember 3, 2026

✔ NPI 1821941121 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 · GAA-NP005514

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4350 TOWNE CENTRE DR STE 2200, Evans, GA 30809

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Other Providers at the Same Location NPPES 12

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

CHARLES P BEAN JR. PA

Physician Assistant (Surgical)