SHONTAVIA CHARISSA DENNIS
NPI 1942902879
Contractor in Valdosta, GA

Active since March 22, 2023
1644 FRESNO ST, VALDOSTA, GA 31602(229) 262-9093 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shontavia Charissa Dennis NPPES

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

SHONTAVIA CHARISSA DENNIS (NPI 1942902879) is an individual contractor provider in Valdosta, Georgia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1942902879
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameSHONTAVIA CHARISSA DENNIS
Location Address1644 FRESNO STValdosta, GA 31602-7200
Mailing Address1644 Fresno StreetValdosta, GA 31602-7200 · (229) 262-9093
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1942902879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1644 FRESNO ST, Valdosta, GA 31602

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 Shontavia Dennis's NPI number?

The NPI number for Shontavia Dennis is 1942902879. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Shontavia Dennis located?

Shontavia Dennis practices at 1644 Fresno St, Valdosta, GA 31602. The listed phone number is (229) 262-9093.

What is Shontavia Dennis's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Shontavia Dennis was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.