Healthcare Provider Details

I. General information

NPI: 1437811940
Provider Name (Legal Business Name): SHKEYA BELLFIELD PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 PENNSYLVANIA AVE STE 206
MCDONOUGH GA
30253-9115
US

IV. Provider business mailing address

148 BEAUMONT WAY
HAMPTON GA
30228-3790
US

V. Phone/Fax

Practice location:
  • Phone: 706-286-6889
  • Fax:
Mailing address:
  • Phone: 678-322-8268
  • Fax: 833-944-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberGAA-NP000437
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0024182893
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number403834
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number12514916-4405
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAPRN11016254
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number266644
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number65682
License Number StateNM
# 8
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number95020698
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAP61237834
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: