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

MS. Phyllis Shanyisa Shiluli

Individual provider Family Nurse Practitioner · NPI 1336741982

MS. Phyllis Shanyisa Shiluli is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2017, 9 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

3100 Sugarberry Ln
Atlanta, GA 30339-8567
Phone: (770) 843-0504
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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 F05180369 (GA)

Record details

NPI number1336741982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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