Mrs Shena Campbell, in Atlanta, GA - Medicare Nurse Practitioner

Mrs Shena Campbell, is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 1372 Peachtree St Ne, Ste 100, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 964-1700.

Mrs Shena Campbell is licensed to practice in Georgia (license number APRN208455) 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 1457821373.

Contact Information

	Mrs Shena Campbell,
	1372 Peachtree St Ne, Ste 100, Atlanta, GA 30309-3203
	(470) 964-1700
	(678) 288-5639

Map and Direction

Provider's Profile

Full Name	Mrs Shena Campbell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1372 Peachtree St Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457821373
Provider Enumeration Date: 12/04/2018
Last Update Date: 07/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7719318617
Enrollment ID: I20200508001993

Medical Identifiers

Medical identifiers for Mrs Shena Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457821373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN208455 (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. Mrs Shena Campbell allows following entities to bill medicare on her behalf.

Entity Name	Pruitthealth Physicians Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256

Entity Name	Georgia Palliative Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295290450 PECOS PAC ID: 9537492137 Enrollment ID: O20190613002834

Entity Name	Pruitthealth Hospice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013955749 PECOS PAC ID: 2264344217 Enrollment ID: O20190702003113

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. Mrs Shena Campbell 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 Address	Practice Location Address
Mrs Shena Campbell, 30 Carlisle Ct, Covington, GA 30016-7437 Ph: (404) 764-0562	Mrs Shena Campbell, 1372 Peachtree St Ne, Ste 100, Atlanta, GA 30309-3203 Ph: (470) 964-1700

Reviews and Comments

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Mrs Shena Campbell, - Medicare Nurse Practitioner in Atlanta, GA