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

Shalese Aycock, NP

Individual provider Family Nurse Practitioner · NPI 1386331734

Shalese Aycock, NP is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2022, 4 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023
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

3294 N Oak Street Ext
Valdosta, GA 31605-6473
Phone: (229) 241-1188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 White Pond Rd, Nashville, GA 31639-6631 — (229) 561-0795

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NCO-000001 (GA)

Record details

NPI number1386331734
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

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 Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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