Beverly Shaw, FNP-C - Medicare Nurse Practitioner in Jackson, GA

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Beverly Shaw, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Georgia. Her current practice location is 1502 W 3rd St, Jackson, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 914-1808.

Beverly Shaw is licensed to practice in Georgia (license number RN207252) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023548591.

Contact Information

Beverly Shaw, FNP-C
1502 W 3rd St,
Jackson, GA 30233-1979
(770) 914-1808
Not Available

Map and Direction




Provider's Profile

Full NameBeverly Shaw
GenderFemale
SpecialityNurse Practitioner - Family
Location1502 W 3rd St, Jackson, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023548591
  • Provider Enumeration Date: 06/15/2017
  • Last Update Date: 08/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305220088
  • Enrollment ID: I20220830000336

Medical Identifiers

Medical identifiers for Beverly Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023548591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN207252 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Beverly Shaw allows following entities to bill medicare on her behalf.
Entity NameSouthern Primary Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225551328
PECOS PAC ID: 3173897196
Enrollment ID: O20170914001778

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Beverly Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Beverly Shaw, FNP-C
3333 Riverwood Pkwy Se Ste 250,
Atlanta, GA 30339-3304

Ph: (770) 914-0116		Beverly Shaw, FNP-C
1502 W 3rd St,
Jackson, GA 30233-1979

Ph: (770) 914-1808

Reviews and Comments


Nurse Practitioner Nurses in Jackson, GA

Deandra Lashay White, APRNC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 794 Mcdonough Rd Ste 108, Jackson, GA 30233
Phone: 470-251-5300    
Ms. Auriel Renae Lewis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 794 Mcdonough Rd Ste 104, Jackson, GA 30233
Phone: 770-775-9044    
Mildred Potter Stull, RN, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Mcdonough Rd, Jackson, GA 30233
Phone: 770-775-7861    Fax: 770-775-4478
Ms. Angela Michelle Cain, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1502 W 3rd St, Jackson, GA 30233
Phone: 770-914-0116    
Mrs. Jaimi Marie Norrell, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 794 Mcdonough Rd, 111, Jackson, GA 30233
Phone: 470-251-5300    
Young Dreaden, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2978 Hwy 36w, Jackson, GA 30233
Phone: 770-504-2112    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.