TYRONJALA SHONTEL GAINEY-GRANT (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1659615342

TYRONJALA SHONTEL GAINEY-GRANT (PMHNP) is a healthcare provider. based in Riverdale, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN175270 (GA). The NPI Number for TYRONJALA SHONTEL GAINEY-GRANT (PMHNP) is 1659615342

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
TYRONJALA SHONTEL GAINEY-GRANT (PMHNP)
NPI
1659615342
Phone
Not provided
Address
223 MEDICAL CENTER DR
Enumeration Date
19 November 2012
Last Update Date
19 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4049631097
Graduation Year
2012 (14 years ago)
PAC ID
5597185892
Group Practice PAC ID
4688094980
Professional Enrollment ID
I20201102002049
Address ID
GA303312159AT950XXSWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for TYRONJALA SHONTEL GAINEY-GRANT (PMHNP)

  • 223 MEDICAL CENTER DR

    RIVERDALE, GA 302742640

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $408.

Total Amount is formed as General ($408) + Research ($0) + Ownership ($0) = $408.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($203).

Total Amount

$408

General + Research + Ownership

Payments

20

Total payment records

General Amount

$408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201102002049INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30274)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688094980View full group profile
NameSpecialtyState
Clinical Social WorkerGA
Clinical Social WorkerGA
Nurse PractitionerGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for TYRONJALA SHONTEL GAINEY-GRANT (PMHNP)?
The registry entry for TYRONJALA SHONTEL GAINEY-GRANT (PMHNP) shows NPI 1659615342.
Is TYRONJALA SHONTEL GAINEY-GRANT (PMHNP)'s NPI status active today?
Active status means TYRONJALA SHONTEL GAINEY-GRANT (PMHNP)'s NPI record is not deactivated in the public file.
How should patients interpret TYRONJALA SHONTEL GAINEY-GRANT (PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for TYRONJALA SHONTEL GAINEY-GRANT (PMHNP). Clinical services aligned with this taxonomy classification.
Which community is linked to TYRONJALA SHONTEL GAINEY-GRANT (PMHNP)?
TYRONJALA SHONTEL GAINEY-GRANT (PMHNP) shows a connection to Riverdale, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

PATRICIA KEHINDE DARE (APRN, PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
450 WINN WAY
NPI: 1043383607
290 HIGHWAY 314 STE C
NPI: 1568733632

JAMIL EMAN DAVIS (PMHNP)

Psychiatric/Mental Health Nurse Practitioner
7574 HIGHWAY 85
NPI: 1376882191

MR. MYRON JAVON FALKNER (PMHNP)

Psychiatric/Mental Health Nurse Practitioner
150 MEDICAL WAY
NPI: 1598196198

LYDIA SHEPPARD (DNP, PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
600 WESTRIDGE PKWY STE 714
NPI: 1609275627

RALPH OGWOTU

Psychiatric/Mental Health Nurse Practitioner
6572 RIVER PARK DR STE 101
NPI: 1144674581

MRS. MYRTLE HOWARD DAVENPORT (NP-C, PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
920 DANNON VW SW
NPI: 1710402979

GLORIA CHINE (NP)

Psychiatric/Mental Health Nurse Practitioner
223 Medical Center Dr
NPI: 1386128320