MS. CHARVETTE GAITONE SHUMAKER-KIRK NP-C NPI 1003280975

NPI Information

  • NPI: 1003280975
  • Provider Name: MS. CHARVETTE GAITONE SHUMAKER-KIRK, NP-C
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 CELEBRATE LIFE PKWY
    NEWNAN, GA
    ZIP 30265
  • Phone: (770) 400-7142

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NPI Details

MS. Charvette Gaitone Shumaker-kirk, NP-C is an acute care nurse practitioner in Newnan, GA with 4 years of experience. MS. Charvette Gaitone Shumaker-kirk, NP-C NPI is 1003280975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 CELEBRATE LIFE PKWY
NEWNAN, GA
ZIP 30265-001
Phone: (770) 400-7142

The NPI 1003280975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2015 and was last updated on 5/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareRN193221GEORGIAYes
2207RH0003XInternal MedicineHematology & OncologyRN193221GEORGIANo
3363L00000XNurse PractitionerRN193221GEORGIANo
4363LA2200XNurse PractitionerAdult HealthRN193221GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003173092BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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