MR. JIMMY LEE SHELNUTT (NPI# 1962773747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962773747 |
| Entity Type | Individual |
| Full Name | MR. JIMMY LEE SHELNUTT |
| Credential | RN |
| Practice Address |
153 Independence Dr Carrollton GA 30116-9000 |
| Practice Telephone | 7708366678 |
| Practice Fax Number | 7708302266 |
| Mailing Telephone | 7708366678 |
| Mailing Fax Number | 7708302266 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN102470 | GA | Nursing Service Providers |
| Street Address |
153 INDEPENDENCE DR |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30116-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851497036 | Marcy A Stidum | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2006-09-15 |
| 1154922797 | Brittany Miles | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-11-02 |
| 1346858644 | Amanda Gayle Chambers | Licensed Practical Nurse | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-07-22 |
| 1073149159 | Pamela Arrington | Licensed Practical Nurse | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-03-20 |
| 1316587579 | Matthew Trev Parry | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2020-01-15 |
| 1194368803 | Heather G James | Peer Specialist | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-10-25 |
| 1568019487 | Katherine Elizabeth Adams | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-08-26 |
| 1932752607 | Amanda Simpson | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-07-22 |
| 1619530037 | Maxine Prince | Counselor | 153 Independence Dr, Carrollton, GA 30116-9000 | 2019-04-22 |
| 1952884967 | Kisha Griffin Farris | Social Worker | 153 Independence Dr, Carrollton, GA 30116-9000 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518338300 | Carri Stewart | Specialist/Technologist | 123 Deer Park Dr, Carrollton, GA 30116 | 2015-10-19 |
| 1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
| 1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
| 1528263837 | Nikki Kennedy | Contractor | 115 Castleman Road, Carrollton, GA 30116 | 2007-06-18 |
| 1841385671 | Margo Barnard | Counselor | 1774 Shady Grove Road, Carrollton, GA 30116 | 2006-10-04 |
| 1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
| 1871112110 | Lorie Maxwell Startup | Registered Nurse | 113 Central High Rd, Carrollton, GA 30116-4452 | 2020-04-15 |
| 1669960886 | Cindy R. Hunter | Dietitian, Registered | 104 Stoney Way, Carrollton, GA 30116-5108 | 2018-04-23 |
| 1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
| 1144654013 | Cameron David Mount | Counselor | 997 Eagles Nest Cir, Carrollton, GA 30116-5496 | 2013-08-28 |
| Find all providers in zip 30116 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952517112 | Kathleen Ruth Okey | Registered Nurse | 331 W Main St, Carrollton, OH 44615-1347 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744717 | Leighana Caldwell | Registered Nurse | 4104 Springridge Ct, Powder Springs, GA 30127-3546 | 2020-06-10 |
| 1083236087 | Adenike Anne Apata | Registered Nurse | 3796 Okefenokee Rdg, Loganville, GA 30052-7167 | 2020-05-12 |
| 1780233452 | Kellie Tedisco | Registered Nurse | 129 Kelly Farm Dr, Luthersville, GA 30251-1607 | 2019-09-05 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1871053819 | Gay Nell Robinson | Registered Nurse | 733 Erika Ln, Grovetown, GA 30813-8305 | 2019-03-25 |
| 1184123812 | Alex Whitman Peterson | Registered Nurse | 1010 Huntcliff Ste 1350, Atlanta, GA 30350-1809 | 2018-02-08 |
| 1629586748 | Dianne Marie Knettel | Registered Nurse | 37 Calumet Pkwy Ste 100, Newnan, GA 30263-6734 | 2018-01-11 |
| 1205347630 | Caroline R Mckinnon | Registered Nurse | 688 Lambeth Dr, Evans, GA 30809-4272 | 2017-10-12 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1407381817 | Divine Psychiatric Care | Registered Nurse | 2651 Cedar Dr, Lawrenceville, GA 30043-1325 | 2017-04-23 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30116 |
Please comment or provide details below to improve the information on MR. JIMMY LEE SHELNUTT.
| 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.