MR. SHAWN MANUEL GEOHAGAN CRNP NPI 1578692521

NPI Information

NPI: 1578692521
Provider Name: MR. SHAWN MANUEL GEOHAGAN, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SOUTHERN NP ASSOCIATES LLC

PECOS Registration: Yes

Address:
9677 HIGHWAY 21
ATMORE, AL
ZIP 36502
Phone: (251) 368-8122
Get Directions

MR. Shawn Manuel Geohagan, CRNP is a family nurse practitioner in Atmore, AL with 22 years of experience. MR. Shawn Manuel Geohagan, CRNP NPI is 1578692521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9677 HIGHWAY 21
ATMORE, AL
ZIP 36502-271
Phone: (251) 368-8122

The NPI 1578692521 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 3/5/2007 and was last updated on 7/8/2007.

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
1	363LF0000X	Nurse Practitioner	Family	1-079148	ALABAMA	Yes

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
1	5455868	OTHER	ALABAMA	DRIVER'S LIC
2	1079148	OTHER	ALABAMA	NURSE PRACTITIONER

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: 11/14/2023

NPI Synchronization or Removal

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