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

Individual provider Family Nurse Practitioner · NPI 1437124740

Shivanthi Ponniah, FNP is a Nurse Practitioner in Roswell, Georgia. Qualified in 2000, 26 years ago. Practices with Esop Rehabilitation LLC, a 245-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3889 Fort Trl NE
Roswell, GA 30075-2079
Phone: (770) 552-6106
Fax: (919) 852-0698
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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 RN196129 (GA)

Record details

NPI number1437124740
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESAugust 19, 2008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Esop Rehabilitation Llc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Roswell