Individual provider · Type 1 NPI

Charvette Gaitone Shumaker-Kirk, AGACNP-; AGPCNP

Gerontology Nurse Practitioner · Atlanta, GA

NPI number 1003280975 Active

Practice location

36 Linden Ave NE
Atlanta, GA 30308-2951

Mailing address

7891 Gable Dr
Douglasville, GA 30135-6403

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNP193221 (GA)
Acute Care Nurse Practitioner 363LA2100XRN193221 (GA)
Adult Health Nurse Practitioner 363LA2200XRN193221 (GA)
Nurse Practitioner 363L00000XRN193221 (GA)
Hematology & Oncology Physician 207RH0003XRN193221 (GA)

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About NPI 1003280975

Charvette Gaitone Shumaker-Kirk, AGACNP-; AGPCNP's National Provider Identifier is 1003280975, issued on Nov 16, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on Aug 12, 2026.