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SHINE HEALTHCARE GROUP
NPI 1851012694
Social Worker - Clinical in Lawrenceville, GA

Active since September 09, 2022
3250 CREEK WATER CT #615, LAWRENCEVILLE, GA 30044(678) 469-9526 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shine Healthcare Group NPPES

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

SHINE HEALTHCARE GROUP (NPI 1851012694) is a healthcare organization registered as a clinical in Lawrenceville, Georgia and active in the NPI registry since September 2022. The organization lists Jasmin Booker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851012694
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHINE HEALTHCARE GROUP
Location Address3250 CREEK WATER CT #615Lawrenceville, GA 30044
Mailing Address3631 Chamblee Tucker Rd, Ste A #288Atlanta, GA 30341 · (678) 469-9526
Phone(678) 469-9526
Organization SubpartNo
Authorized OfficialJasmin BookerCeo · (404) 491-7716
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1851012694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Other Names 1

Former Legal Business NameShine Healthcare Group

Other Identifiers 1

Other00

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shine Healthcare Group 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 Shine Healthcare Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Hubbs
Clinical Social Worker
NPI 1346689817
900 SHUGART RD
Dalton, GA 30720
(706) 270-5005
✔ PECOS✔ Accepts Medicare

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 Shine Healthcare Group's NPI number?

The NPI number for Shine Healthcare Group is 1851012694. It was assigned to this organization in the NPPES registry on September 9, 2022.

Where is Shine Healthcare Group located?

Shine Healthcare Group is located at 3250 Creek Water Ct #615, Lawrenceville, GA 30044. The listed phone number is (678) 469-9526.

What is Shine Healthcare Group's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shine Healthcare Group enrolled in Medicare?

Yes. Shine Healthcare Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Healthcare Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shine Healthcare Group. 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 Shine Healthcare Group was last updated on September 9, 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.