JOURNEYCARE FAMILY MEDICINE, LLC
NPI 1932808094
Nurse Practitioner - Family in Fayetteville, GA
About Journeycare Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOURNEYCARE FAMILY MEDICINE, LLC (NPI 1932808094) is a healthcare organization registered as a family in Fayetteville, Georgia and active in the NPI registry since February 2023. The organization lists Shantrice Nichols-bates, Co-owner/ Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Journeycare Family Medicine, Llc 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 Journeycare Family Medicine, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Journeycare Family Medicine, LLC's NPI number?
The NPI number for Journeycare Family Medicine, LLC is 1932808094. It was assigned to this organization in the NPPES registry on February 27, 2023.
Where is Journeycare Family Medicine, LLC located?
Journeycare Family Medicine, LLC is located at 126 N Park Dr, Fayetteville, GA 30214. The listed phone number is (470) 316-8028.
What is Journeycare Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Journeycare Family Medicine, LLC enrolled in Medicare?
Yes. Journeycare Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Journeycare Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Journeycare Family Medicine, LLC. 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 Journeycare Family Medicine, LLC was last updated on January 16, 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.
# Journeycare Family Medicine, Llc · NPI 1932808094
Family organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1932808094 (Entity type: Organization)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Shantrice Nichols-Bates, CO-OWNER/ MEDICAL DIRECTOR
## Practice location
- **Address:** 126 N PARK DR, Fayetteville, GA 30214-1645
- **Phone:** (470) 316-8028 · **Fax:** (678) 519-2736
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932808094) · Data from the CMS NPPES public registry.