| Mrs Shakeva Tiller, PMHNP | |
|
135 Eagles Walk, Stockbridge, GA 30281-7206 | |
| (470) 726-4147 | |
| Not Available |
| Full Name | Mrs Shakeva Tiller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 135 Eagles Walk, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255117271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN287171 (Georgia) | Primary |
| Entity Name | Heritage Care Place LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124874425 PECOS PAC ID: 5890239974 Enrollment ID: O20240701000207 |
| Entity Name | Lotus Nest Counseling Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073129896 PECOS PAC ID: 1759814684 Enrollment ID: O20241030001496 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shakeva Tiller, PMHNP Po Box 531, Moreland, GA 30259-0531 Ph: Not Available | Mrs Shakeva Tiller, PMHNP 135 Eagles Walk, Stockbridge, GA 30281-7206 Ph: (470) 726-4147 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281 Phone: 770-962-3642 Fax: 770-962-3643 |
Romin Patel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 000-000-0000 |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 |
Shanea R Mcdaniel, RN, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281 Phone: 803-617-9953 |