Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Shastel, PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1821724790

Michael Shastel, PMHNP is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2022, 4 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

200 Wisteria Dr
Gainesville, GA 30501-3827
Phone: (770) 219-5407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN246991 (GA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN246991 (GA)

Record details

NPI number1821724790
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 25, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateAugust 4, 2022
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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