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

Individual provider Family Nurse Practitioner · NPI 1588703565

Mrs. Shanda T Hartley, FNP is a Nurse Practitioner in Canton, Georgia. Qualified in 2004, 22 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

207 Crestmont Way
Canton, GA 30114-8875
Phone: (678) 880-6698
Fax: (470) 299-9936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN174554 NP (GA)

Record details

NPI number1588703565
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESMarch 18, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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