Gregory, Shalia Shani

Gregory, Shalia Shani is an individual health care provider with primary practice located at 4424 Hugh Howell Rd Ste D , Tucker GA 30084-4905. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gregory, Shalia Shani can be contacted via phone (404) 692-4466.

Contact Information

Primary practice address
4424 Hugh Howell Rd Ste D Tucker GA 30084-4905
Phone: (404) 692-4466
Fax: (415) 252-7176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN201437 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN201437 Georgia

Profile Details

NPI number 1275964447
LBN Legal business name Gregory, Shalia Shani
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated Apr 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275964447 NPPES
Georgia MEDICAID 003142568E

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