Shallotte Home – Adult Care Home Facility, NPI 1396123972

Shallotte Home is a healthcare provider. based in Atlanta, Georgia. specializing in Adult Care Home Facility. The NPI Number for Shallotte Home is 1396123972

Main info

Organization
Name
Shallotte Home
NPI
1396123972
Phone
(404) 364-2900
Address
1819 PEACHTREE RD NE
Authorized Official
JENNIFER LOZANO DIRECTOR OF REVENUE CYCLE MBA, CPC-P
Enumeration Date
14 May 2015
Last Update Date
16 September 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:11State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Shallotte Home

  • 1819 PEACHTREE RD NE

    SUITE 450

    ATLANTA, GA 303091848

    Phone: (404) 364-2900

    Fax: (404) 364-2901

    Type: Mailing

  • 4763 MILLIKEN ST

    SHALLOTTE, NC 284704467

    Phone: (910) 251-6616

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30309)

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Reviews

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Frequently asked questions

Can I cross-check Shallotte Home using NPI 1396123972?
NPI 1396123972 belongs to Shallotte Home; compare other details if you need extra assurance.
Would Shallotte Home appear as active to a payer?
You can treat Shallotte Home as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for Shallotte Home?
At a glance, Shallotte Home is tied to Adult Care Home Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Shallotte Home?
Travel planning: use Atlanta, Georgia as the reference point for Shallotte Home, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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