MEDICARE: SHEENA KNIGHT

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	1744P3200X	Prosthetics Case Management		GA

General Provider Information

NPI Number	:	1639035389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEENA KNIGHT

Provider Business Mailing Address
First Line	:	3514 CONDOR CT SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-3140
Country	:	US
Telephone Number	:	412-657-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	3514 CONDOR CT SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-3140
Country	:	US
Telephone Number	:	412-657-0554
Fax Number	:

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

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/29/2025

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Directions to “ SHEENA KNIGHT ” Practice Location

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