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

Shanta Mathis-McWhorter

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1851170542

Shanta Mathis-McWhorter is a Nurse Practitioner in Greensboro, Georgia. Qualified in 2023, 3 years ago. Practices with Ultra Health Providers II LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023

Practice location Address checks out

1010 Hope Ln
Greensboro, GA 30642-4313
Phone: (706) 816-6018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN208865 (GA)

Record details

NPI number1851170542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing address1010 Hope Ln, Greensboro, GA 30642-4313

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ultra Health Providers Ii Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greensboro