MEDICARE: BRENDA SHOCKEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LPN0444930	GA

General Provider Information

NPI Number	:	1598624595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA SHOCKEY

Provider Business Mailing Address
First Line	:	3409 SUTTON PL
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-5208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 SUTTON PL
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-5208
Country	:	US
Telephone Number	:	706-832-1703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

Similar Medicare Providers

1629635396 — KENYATTA CARNELL BROWN DNP, FNP-BC,PMHNP-BC
Practice Location Address:

3421 MIKE PADGETT HWY
AUGUSTA, GA
30906-3815

Practice Phone: 706-432-4800
Practice Fax:

1336365063 — DR. EDWARD WHITTINGSLOW M.D.
Practice Location Address:

3736 MIKE PADGETT HWY , SUITE A
AUGUSTA, GA
30906-0719

Practice Phone: 706-560-2273
Practice Fax: 706-560-0903

1518705300 — AMBER ELIZABETH SPIVEY REVILLE
Practice Location Address:

3235 DEANS BRIDGE RD
AUGUSTA, GA
30906-7004

Practice Phone: 731-394-1145
Practice Fax:

1396485355 — JADE ELIZABETH FUNCK DO
Practice Location Address:

2467 GOLDEN CAMP RD
AUGUSTA, GA
30906-5515

Practice Phone: 706-790-4440
Practice Fax:

1942167127 — DANNA M LEE LPN
Practice Location Address:

2604 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-2406

Practice Phone: 706-922-0600
Practice Fax:

1548264047 — SANDRA ELAINE DUBOSE FNP
Practice Location Address:

1631 GORDON HWY STE 17A
AUGUSTA, GA
30906-2229

Practice Phone: 706-230-7006
Practice Fax: 762-257-7442

Directions to “ BRENDA SHOCKEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.