P Praxis·MD
● Active Type 1 · Individual

MR. Shashank Kumar Jha, MBBS, FNP, PMHNP-BC

Nurse Practitioner·Marietta, GA· NPI 1174800072 · Enumerated 2011 · 14 years on NPI
Jha is 1 of 58 nurse practitioner providers in Marietta and 1 of 1622 in Georgia.
NPI age
14 years
Enumerated 2011-11-07
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
14 years
↑ 10 yr above median (4 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-11Enumerated in NPPES
2011 2026

Where they practice

Practice location
2550 Sandy Plains Rd Ste 225
Marietta, GA 300667256
📞 7705257415
Mailing address
445 Winn Way
Decatur, GA 300301707
📞 4045083835

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN214076 taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    GA license #RN214076SC license #17634 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (GA) RN 214076 GEORGIA BOARD OF NURSING
01 (SC) 17634 SOUTH CAROLINA BOARD OF NURSING
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 8 new nurse practitioner providers have been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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