NPI age
6 years
Enumerated 2019-06-13
● Active Type 2 · Organization
Shaw Living Pc
Shaw Living Pc is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bradford
Office Manager
Last NPPES update
2024-02-28
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
6 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-06Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
2484 E Pinetree Blvd
Thomasville, GA 317924854
Mailing address
2484 E Pinetree Blvd
Thomasville, GA 317924854
Authorized official
Lacy Bradford
Office Manager
📞 2295946800
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Martha Hanna, NP Nurse Practitioner NPI 1790178564
- Brandi Warren, DO Family Medicine NPI 1417046517
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 179012663G |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.