Doctor profile · Federal record
Dr. Shaveanda Queen, MD
Pediatrics Physician · Stone Mountain, GA
- NPI 1972600922
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5582 Memorial Dr
Stone Mountain, GA 300833215
(404) 298-8998
fax (404) 298-7658
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- December 15, 2014
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Georgia #040764
- Medicaid
- GA #000717043D
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972600922. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $17.04 |
By nature of payment
Frequently asked questions
What is Dr. Shaveanda Queen's medical specialty?
Dr. Shaveanda Queen practices Pediatrics Physician in Stone Mountain, GA.
Where does Dr. Shaveanda Queen practice?
Dr. Shaveanda Queen practices at 5582 Memorial Dr, Stone Mountain, GA 300833215. Office phone: 4042988998.
What is Dr. Shaveanda Queen's NPI?
Dr. Shaveanda Queen's National Provider Identifier (NPI) is 1972600922, issued by NPPES.