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SHAVON POAG
NPI 1912673245
Specialist - Prosthetics Case Management in Jonesboro, GA

Active since August 17, 2021
122 N MCDONOUGH ST, JONESBORO, GA 30236(470) 364-7186 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Aug 17, 2021 (2 updates tracked since 2021).

About Shavon Poag NPPES

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

SHAVON POAG (NPI 1912673245) is an individual prosthetics case management provider in Jonesboro, Georgia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1912673245
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameSHAVON POAG
Location Address122 N MCDONOUGH STJonesboro, GA 30236-3023
Mailing Address1920 Old DogwoodJonesboro, GA 30238-7514 · (470) 364-7186
Phone(470) 364-7186
Sole ProprietorYes
Enumeration DateAugust 17, 2021
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2021
✔ NPI 1912673245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
122 N MCDONOUGH ST, Jonesboro, GA 30236
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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 Shavon Poag's NPI number?

The NPI number for Shavon Poag is 1912673245. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Shavon Poag located?

Shavon Poag practices at 122 N Mcdonough St, Jonesboro, GA 30236. The listed phone number is (470) 364-7186.

What is Shavon Poag's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Shavon Poag was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.