Provider Demographics
NPI:1992506109
Name:GARCIA, ATHENA SHAY
Entity type:Individual
Prefix:
First Name:ATHENA
Middle Name:SHAY
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 MORNING MIST LN
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-0756
Mailing Address - Country:US
Mailing Address - Phone:828-384-7858
Mailing Address - Fax:
Practice Address - Street 1:56 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-3251
Practice Address - Country:US
Practice Address - Phone:706-896-7858
Practice Address - Fax:706-896-0877
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC301534363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse