SHANTE NICOLE YOUNG (DNP) – Family Nurse Practitioner, NPI 1811389869
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for SHANTE NICOLE YOUNG (DNP)
42 CARRIAGE OAKS DR # 1020
TYRONE, GA 302901684
Phone: (678) 250-6123
Fax: (551) 214-0934
Type: Mailing
1668 MULKEY RD STE H
AUSTELL, GA 301061163
Phone: (678) 250-6123
Fax: (551) 214-0934
Type: Location
PO BOX 932958
CLEVELAND, OH 441930028
Phone:
Fax: (551) 214-0934
Type: Mailing
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 302651517
Phone: (678) 423-5854
Type: Location
3755 Main St Unit 101
College Park, GA 303373543
Phone: (678) 632-5331
Fax: (551) 214-0934
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150430001350 | I | Nurse Practitioner | GA | TBD |
| I20260120002790 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30290)
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