Shanita Southerland Ausborn, APRN - Medicare Nurse Practitioner in Macon, GA

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Shanita Southerland Ausborn, APRN is a medicare enrolled "Nurse Practitioner - Family" in Macon, Georgia. Her current practice location is 770 Walnut St, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 787-4266.

Shanita Southerland Ausborn is licensed to practice in Georgia (license number RN203226) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205229531.

Contact Information

Shanita Southerland Ausborn, APRN
770 Walnut St,
Macon, GA 31201-7307
(478) 787-4266
(478) 787-4199

Map and Direction




Provider's Profile

Full NameShanita Southerland Ausborn
GenderFemale
SpecialityNurse Practitioner - Family
Location770 Walnut St, Macon, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205229531
  • Provider Enumeration Date: 03/11/2015
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426377110
  • Enrollment ID: I20150430001495

Medical Identifiers

Medical identifiers for Shanita Southerland Ausborn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205229531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN203226 (Georgia)Primary

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. Shanita Southerland Ausborn allows following entities to bill medicare on her behalf.
Entity NameCopilotiq Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316527203
PECOS PAC ID: 7810392040
Enrollment ID: O20220322001910
Entity NameCopilotiq Medical Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144969767
PECOS PAC ID: 9739559014
Enrollment ID: O20221230002508
Entity NameMd Health Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588352769
PECOS PAC ID: 6406213198
Enrollment ID: O20230612002477
Entity NameRichard Joseph Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003512591
PECOS PAC ID: 9537533534
Enrollment ID: O20231004000590
Entity NamePark Hill Health Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558076786
PECOS PAC ID: 6709250889
Enrollment ID: O20231005002637
Entity NamePark Hill Health Services Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356047849
PECOS PAC ID: 1557735875
Enrollment ID: O20231009001679

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. Shanita Southerland Ausborn 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
Shanita Southerland Ausborn, APRN
770 Walnut St,
Macon, GA 31201-7307

Ph: (478) 787-4266		Shanita Southerland Ausborn, APRN
770 Walnut St,
Macon, GA 31201-7307

Ph: (478) 787-4266

Reviews and Comments


Nurse Practitioner Nurses in Macon, GA

Michelle Renee Brown, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 655 1st St, Macon, GA 31201
Phone: 478-301-5930    Fax: 478-301-5932
Mrs. Jamie Lynn Harrelson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4061 Vineville Ave, Macon, GA 31210
Phone: 478-757-7345    
Skylar Nelson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217
Phone: 478-745-1191    
Jo Beth Roberts, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 478-633-6706    Fax: 478-633-5384
Jennifer Johnson Slade, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3888 Northside Dr, Macon, GA 31210
Phone: 478-477-4044    Fax: 478-477-7076
Mrs. Lynn Davis Waits, MSN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 College Station Dr, Macon, GA 31206
Phone: 478-471-2092    
Ms. Mirela Danaj, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201
Phone: 478-633-7550    

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.