SHAWNA M BERG (FNP) – Nurse Practitioner, NPI 1598047730
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHAWNA M BERG (FNP)
119 AMBULANCE DR
SUITE 202
CARROLLTON, GA 301173857
Phone: (770) 838-8710
Type: Mailing
1480 S HIGHWAY 27
CARROLLTON, GA 301178901
Phone: (770) 836-9445
Fax: (770) 838-8808
Type: Location
222 GORDON ST
BREMEN, GA 301101519
Phone: (770) 537-1234
Fax: (770) 537-1237
Type: Mailing
820 MAPLE ST
CARROLLTON, GA 301173626
Phone: (678) 390-7915
Fax: (678) 390-7901
Type: Location
1009 Alabama Ave S
Bremen, GA 301102501
Phone: (678) 821-6400
Fax: (678) 821-6401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Novo Nordisk Inc ($61).
Total Amount
$114
General + Research + Ownership
Payments
7
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $61 |
| ABBVIE INC. | $32 |
| Amgen Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111011000114 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 13 | 11 | $0 |
Insurance plans in this area (ZIP 30117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| O T O L A R Y N G O L O G Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Infectious Disease | GA | |
| U R O L O G Y | GA | |
| - | GA |
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