Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC - Medicare Nurse Practitioner in Kennesaw, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Kennesaw
Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kennesaw, Georgia. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Personal Recovery Network Llc and his current practice location is 4255 Wade Green Rd Nw Ste 414, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 213-2194.

Mr Shashank Kumar Jha is licensed to practice in Georgia (license number RN214076) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174800072.

Contact Information

Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC
4255 Wade Green Rd Nw Ste 414,
Kennesaw, GA 30144-1763
(678) 213-2194
Not Available

Map and Direction




Provider's Profile

Full NameMr Shashank Kumar Jha
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location4255 Wade Green Rd Nw Ste 414, Kennesaw, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shashank Kumar Jha graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1174800072
  • Provider Enumeration Date: 11/07/2011
  • Last Update Date: 01/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719153360
  • Enrollment ID: I20120131000672

Medical Identifiers

Medical identifiers for Mr Shashank Kumar Jha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174800072NPI-NPPES
RN 214076OtherGAGEORGIA BOARD OF NURSING
17634OtherSCSOUTH CAROLINA BOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN214076 (Georgia)Secondary
363LF0000XNurse Practitioner - Family 17634 (South Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN214076 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Personal Recovery Network Llc5092611384334

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Shashank Kumar Jha allows following entities to bill medicare on his behalf.
Entity NamePhoebe Worth Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760460448
PECOS PAC ID: 0840104527
Enrollment ID: O20040205000529
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shashank Kumar Jha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC
445 Winn Way,
Decatur, GA 30030-1707

Ph: (404) 508-3835		Mr Shashank Kumar Jha, MBBS, FNP, PMHNP-BC
4255 Wade Green Rd Nw Ste 414,
Kennesaw, GA 30144-1763

Ph: (678) 213-2194

Reviews and Comments


Nurse Practitioner Nurses in Kennesaw, GA

Lisa Vivienne Poling, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144
Phone: 678-797-2844    Fax: 678-797-2827
Mrs. Quyen Le Ta, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144
Phone: 404-324-9413    
Ms. Tanya S Wilcox, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152
Phone: 770-515-9000    
Mrs. Martricia Meshonna Turner, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144
Phone: 770-426-5666    Fax: 770-426-6205
Ms. Stacey Levison, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152
Phone: 770-590-8181    
Ms. Kimberly Noel Johnson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144
Phone: 678-354-2273    
Nilomee Patel,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152
Phone: 770-738-7560    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.