MEDICARE: SHANTA MATHIS-MCWHORTER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN208865	GA

General Provider Information

NPI Number	:	1851170542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANTA MATHIS-MCWHORTER

Provider Business Mailing Address
First Line	:	1010 HOPE LN
Second Line	:
City	:	GREENSBORO
State	:	GA
Zip	:	30642-4313
Country	:	US
Telephone Number	:	706-816-6018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 HOPE LN
Second Line	:
City	:	GREENSBORO
State	:	GA
Zip	:	30642-4313
Country	:	US
Telephone Number	:	706-816-6018
Fax Number	:

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

Provider Enumeration Date	:	09/22/2023
Last Update Date	:	09/22/2023

Similar Medicare Providers

1679287122 — MRS. KATHERINE ELIZABETH SCHWAB
Practice Location Address:

2501 N CHURCH ST
GREENSBORO, NC
27405-4313

Practice Phone: 336-375-2595
Practice Fax:

1679661250 — DR. PERRY K LEE OD
Practice Location Address:

6061 LAKE OCONEE PKWY
GREENSBORO, GA
30642-3798

Practice Phone: 706-453-4535
Practice Fax: 706-453-4539

1730182411 — DR. DAVID CHRISTOPHER BRADLEY D.M.D.
Practice Location Address:

1011 PARKSIDE MAIN
GREENSBORO, GA
30642-4543

Practice Phone: 706-453-1333
Practice Fax: 706-453-7001

1235132911 — DR. PATTI JUNE BRADLEY D.M.D
Practice Location Address:

1011 PARKSIDE MAIN
GREENSBORO, GA
30642-4543

Practice Phone: 706-453-1333
Practice Fax: 706-453-7001

1174528103 — ATHENS SPORTS MEDICINE CLINIC INC
Practice Location Address:

1061 PARK DR
GREENSBORO, GA
30642-3465

Practice Phone: 706-453-1600
Practice Fax: 706-453-4498

1104821917 — JONATHAN BARAK FASS MD
Practice Location Address:

1000 COWLES CLINIC WAY STE 100
GREENSBORO, GA
30642-5285

Practice Phone: 706-543-5858
Practice Fax: 706-543-2050

Directions to “ SHANTA MATHIS-MCWHORTER ” 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.