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Active NPI 1568779809 Individual Practitioner Female Practitioner

Shana Goodno , FNP-BC

Nurse Practitioner • Moultrie, GA

Professional Overview & Biography Verified Profile Summary

Shana Goodno, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Moultrie, GA. Practice services are available at 207 31 ST AVE SE under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 31 St Ave Se

Moultrie, GA 31768

Telephone 2292170088
Fax 2292170087
Associated Practice Facility / Clinic
🏢 Convenient Care, Llc Facility NPI 1932631371

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Moultrie, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Moultrie, GA (3149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus
21 11 $120.00 $16.22
99213 Established patient office or other outpatient visit, typically 15 minutes
18 16 $160.00 $59.15

Medical Specialties & State Licenses

CMS Verified: 2025-10-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN164651

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Katherine Hanson , FNP-BC

Nurse Practitioner - Primary Care

NPI 1265939417

Family Nurse Practitioner (Board Certified)

Laura Schwalls , NP-C

Nurse Practitioner - Family

NPI 1326436759

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2011

Registered at 207 31 ST AVE SE, MOULTRIE, GA 31768 (Tel: 2292170088)

📍
Updated Business Mailing Address October 12, 2011

Registered at 207 31ST AVE SE, MOULTRIE, GA 317686703 (Tel: 2292170088)

👤
Provider Name / Credentials Updated October 12, 2011

Recorded as SHANA GOODNO, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2011

Nurse Practitioner (License #RN164651 in GA)

🟢
Initial NPI Registration & Enumeration September 08, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568779809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2010
Last Update: October 13, 2025
Sole Proprietor: No

Mailing Address

207 31st Ave Se

Moultrie, GA 317686703

Phone: 2292170088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.