MR. SHAWN MANUEL GEOHAGAN (NPI# 1578692521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578692521 |
| Entity Type | Individual |
| Full Name | MR. SHAWN MANUEL GEOHAGAN |
| Credential | CRNP |
| Practice Address |
9677 Highway 21 Atmore AL 36502-4271 |
| Mailing Address |
604 3rd St Andalusia AL 36420-3317 |
| Practice Telephone | 2513688122 |
| Mailing Telephone | 3344271860 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-079148 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | NURSE PRACTITIONER | 1079148 | 01 |
| AL | DRIVER'S LIC | 5455868 | 01 |
| Street Address |
9677 HIGHWAY 21 |
| City | ATMORE |
| State | AL |
| Zip Code | 36502-4271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003958885 | George F Wilson | Internal Medicine | 9677 Highway 21, Atmore, AL 36502-4271 | 2007-02-12 |
| 1699268300 | Krystal Shanta Lockett | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2018-06-08 |
| 1275086019 | Brittany Shantel Murry | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2016-07-28 |
| 1740657170 | Felecia Crawford | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1932331485 | Buckley and Buckley Family Dentistry | Dentist | 604 E Nashville Ave, Atmore, AL 36502 | 2009-08-18 |
| 1932343803 | Melanie Showalter Killam | Physical Therapist | 715 East Laurel Street, Atmore Nursing Center, Atmore, AL 36502 | 2009-04-23 |
| 1326285040 | Gene Allen West | Dentist | 109 7th Avenue, Atmore, AL 36502 | 2009-01-16 |
| 1134231392 | Paul J Dirkes | Dentist | 5811 Jack Springs Road, Atmore, AL 36502 | 2006-08-31 |
| 1538111893 | Atmore Community Home Care, LLC | Home Health | 121-c Lindberg Avenue, Atmore, AL 36502 | 2006-05-16 |
| 1790740793 | Renal Treatment Centers Southeast Lp | Clinic/Center | 807 E Craig St, Atmore, AL 36502 | 2006-04-20 |
| 1386250710 | Lydia M Bonner | Nurse Practitioner | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-21 |
| 1508885732 | Health Plus Chiropractic Center LLC | Chiropractor | 200 N Main St, Atmore, AL 36502 | 2006-07-19 |
| 1669640041 | Baldwin County Girls Residential Wilderness Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23750 Ewing Farm Road, Atmore, AL 36502-0000 | 2008-02-19 |
| Find all providers in zip 36502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1386250710 | Lydia M Bonner | Nurse Practitioner | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-21 |
| 1346801347 | Matthew Barnett | Nurse Practitioner | 401 Medical Park Dr, Atmore, AL 36502-3006 | 2019-06-21 |
| 1629545926 | Keith Scott Classen | Nurse Practitioner | 401 Medical Park Dr, Atmore, AL 36502-3091 | 2018-10-25 |
| 1740657170 | Felecia Crawford | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2015-09-02 |
| 1861785693 | Donna Mcinnis Beck | Nurse Practitioner | 406 Medical Park Dr, Atmore, AL 36502-3016 | 2011-05-26 |
| 1689784084 | Julia Gordon | Nurse Practitioner | 5811 Jack Springs Rd, Atmore, AL 36502-5025 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 1306452545 | Richard Keith Fell | Nurse Practitioner | 2785 Carl T Jones Dr Se Ste C, Huntsville, AL 35802-4947 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.