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Shan Tully, FNP-C
NPI 1275498131 · Nurse Practitioner · Hiram, GA
Shan Tully, FNP-C is a Nurse Practitioner provider in Hiram, GA (NPI 1275498131).
Provider details
- NPI number
- 1275498131
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- APRN-NP294893 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6736 Bill Carruth Pkwy Apt 805
Hiram, GA 30141-3794
Phone: (470) 330-0826
Street-level locationGet directions
Mailing address
6736 Bill Carruth Pkwy Apt 805
Hiram, GA 30141-3794
Registry dates
- Enumerated
- 2025-12-22
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Frequently asked questions
- What is Shan Tully's NPI number?
- Shan Tully's National Provider Identifier (NPI) is 1275498131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shan Tully's specialty?
- Shan Tully is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shan Tully located?
- Shan Tully's practice location on file with NPPES is 6736 Bill Carruth Pkwy Apt 805, Hiram, GA 30141-3794.
- What is Shan Tully's phone number?
- The practice phone number listed in the NPPES registry for Shan Tully is (470) 330-0826.
- Is Shan Tully's NPI active?
- Yes — Shan Tully's NPI (1275498131) is active in the NPPES registry as of the last update on 2025-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.