SHAWNNA JANE GRECO PA-C NPI 1639390081

NPI Information

  • NPI: 1639390081
  • Provider Name: SHAWNNA JANE GRECO, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 6546 WHITE SPRUCE AVE
    BRASELTON, GA
    ZIP 30517
  • Phone: (615) 477-9527

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NPI Details

Shawnna Jane Greco, PA-C is a surgical physician assistant in Braselton, GA. Shawnna Jane Greco, PA-C NPI is 1639390081. 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:

6546 WHITE SPRUCE AVE
BRASELTON, GA
ZIP 30517-257
Phone: (615) 477-9527

The enumeration date for this NPI number is 5/2/2007 and was last updated on 2/24/2021.

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
1363A00000XPhysician Assistant006202GEORGIANo
2363AS0400XPhysician AssistantSurgicalPA0000000778TENNESSEENo
3363AS0400XPhysician AssistantSurgical006202GEORGIAYes

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: 11/21/2025

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