| Mrs Shanika Linette Richardson Conyers, NP | |
|
351 S Liberty St, Waynesboro, GA 30830-9686 | |
| (706) 554-2176 | |
| Not Available |
| Full Name | Mrs Shanika Linette Richardson Conyers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 351 S Liberty St, Waynesboro, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467840272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 22222 (Georgia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | RN225002 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Au Medical Center | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shanika Linette Richardson Conyers, NP 1120 15th St, Ste Bi1056, Augusta, GA 30912-0004 Ph: (706) 554-4435 | Mrs Shanika Linette Richardson Conyers, NP 351 S Liberty St, Waynesboro, GA 30830-9686 Ph: (706) 554-2176 |
Mrs. Regina Jenkins Richardson, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 Dogwood Dr, Waynesboro, GA 30830 Phone: 706-554-3456 Fax: 706-554-2944 | |
Shametrial Glascock Foreman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 W 4th St, Waynesboro, GA 30830 Phone: 706-825-3373 | |
Mrs. Ashley J Boynton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2281 Porter Carswell Rd, Waynesboro, GA 30830 Phone: 706-421-6949 | |
Mrs. Shelley H Mallard, APRN, BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Jones Ave, Waynesboro, GA 30830 Phone: 706-554-5147 Fax: 706-554-6111 | |
Kaylyn Clifton, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 Porter Carswell Rd, Waynesboro, GA 30830 Phone: 706-871-7219 | |
Ashlee Elizabeth Harrell, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-4435 |