NPI age
4 years
Enumerated 2021-08-17
● Active
Type 1 · Individual
Shavon Poag
Poag is 1 of 4 specialist providers in Jonesboro and 1 of 250 in Georgia.
Primary specialty
Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-04-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 250 active specialist providers in Georgia.
NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Practice location
122 N McDonough St
Jonesboro, GA 302363023
Mailing address
1920 Old Dogwood
Jonesboro, GA 302387514
Specialties
-
Specialist PrimaryA case manager who provides services for patients with prosthetics.
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 →
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