Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Slocumb Ethridge, FNP-C

Individual provider Family Nurse Practitioner · NPI 1033527254

Mrs. Shannon Slocumb Ethridge, FNP-C is a Nurse Practitioner in Macon, Georgia. Qualified in 2014, 12 years ago. Practices with Vineville Internal Medicine LLC, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3448 Vineville Ave Bldg B
Macon, GA 31204-1867
Phone: (478) 405-0045
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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 RN198355 (GA)

Record details

NPI number1033527254
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vineville Internal Medicine Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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