NPI age
2 years
Enumerated 2024-03-28
● Active
Type 1 · Individual
Chaunta Wade Shannon
Shannon is 1 of 4 licensed practical nurse providers in Locust Grove and 1 of 1344 in Georgia.
Primary specialty
Licensed Practical Nurse
Licensed in
MS
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1344 active licensed practical nurse providers in Georgia.
NPI age
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Practice location
1090 Eagles Brooke Dr
Locust Grove, GA 302482475
Mailing address
1090 Eagles Brooke Dr
Locust Grove, GA 302482475
Specialties
-
Licensed Practical Nurse PrimaryAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.