| Shawna M Berg, FNP | |
|
820 Maple St, Carrollton, GA 30117-3626 | |
| (678) 390-7915 | |
| (678) 390-7901 |
| Full Name | Shawna M Berg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 820 Maple St, Carrollton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598047730 | NPI | - | NPPES |
| 1861915647 | Other | GA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN113194 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN113194 (Georgia) | Primary |
| Entity Name | TMC Immediate Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386708097 PECOS PAC ID: 9133105976 Enrollment ID: O20040624000840 |
| Entity Name | Peachtree Immediate Care FP, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Entity Name | 316 Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861915647 PECOS PAC ID: 6709159437 Enrollment ID: O20170831002113 |
| Entity Name | 3:16 Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295695781 PECOS PAC ID: 9234617234 Enrollment ID: O20260131000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna M Berg, FNP 222 Gordon St, Bremen, GA 30110-1519 Ph: (770) 537-1234 | Shawna M Berg, FNP 820 Maple St, Carrollton, GA 30117-3626 Ph: (678) 390-7915 |
Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828 |
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 |
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237 |
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 |
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 706 Dixie St Ste 320, Carrollton, GA 30117 Phone: 770-812-9326 Fax: 770-836-9358 |
Sarah B Valdes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 |
Alyssa Dianne Paul, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117 Phone: 770-838-8440 |