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

Mrs. Shannan Georgov, NP

Individual provider Gerontology Nurse Practitioner · NPI 1255046546

Mrs. Shannan Georgov, NP is a Nurse Practitioner in Newark, Delaware. Qualified in 2022, 4 years ago. Practices with Talis Healthcare LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Delaware and Pennsylvania.

Years since qualifying
4
Licensed in
DE, PA
In the registry since
2023
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 Discovery Blvd
Newark, DE 19713-1325
Phone: (302) 866-9704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence LP-0010674 (DE)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence SP026462 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence SP026462 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP026462 (PA)

Record details

NPI number1255046546
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 20, 2023
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

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 Talis Healthcare Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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