SHANELLE LYNETTE RAIFORD DNP
NPI 1902404320
Nurse Practitioner in Stockbridge, GA
About Shanelle Lynette Raiford Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANELLE LYNETTE RAIFORD DNP (NPI 1902404320) is an individual nurse practitioner in Stockbridge, Georgia, licensed in Georgia (RN245806) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stone Mountain, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shanelle Lynette Raiford Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Shanelle Raiford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 713 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
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 Shanelle Raiford's NPI number?
The NPI number for Shanelle Raiford is 1902404320. It was assigned to this individual provider in the NPPES registry on October 16, 2020.
Where is Shanelle Raiford located?
Shanelle Raiford practices at 1133 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 604-1053.
What is Shanelle Raiford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shanelle Raiford enrolled in Medicare?
Yes. Shanelle Raiford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shanelle Raiford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanelle Raiford reassigns Medicare benefits to Piedmont Anesthesia LLC (Stockbridge, GA). The 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 Shanelle Raiford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shanelle Raiford was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Shanelle Lynette Raiford, DNP · NPI 1902404320
Nurse Practitioner physician in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since October 16, 2020.
## Identity
- **NPI:** 1902404320 (Entity type: Individual)
- **Enumerated:** October 16, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN245806 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1133 EAGLES LANDING PKWY, Stockbridge, GA 30281-5085
- **Phone:** (678) 604-1053
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Piedmont Anesthesia LLC (NPI 1700474244, Stockbridge, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902404320) · Data from the CMS NPPES public registry.