Jonathan Michael Shults, MD.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

75377 Issued in GA

Practice address

6715 Forest Park Dr
Savannah, GA 31406-2507

Phone

(912) 777-6920

Fax

(912) 777-4018

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Miami Medical College, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Coastal Empire Orthopedics LLCGroup PAC ID 2062768740, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• AL HMO D-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• FL HMO
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• AL HMO
• FL HMO D-SNP
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO C-SNP
• TN PPO
• FL HMO C-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIIHDD/Endpoint/EIIHDD
• Direct secure messaging: jonathan.shults.1@24313.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Empire Orthopedics LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Savannah, GA
  • NPI 1396258323
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1013013101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 FOREST PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062507",
            "telephone_number": "912-777-6920",
            "fax_number": "912-777-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 FOREST PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062507",
            "telephone_number": "912-777-6920",
            "fax_number": "912-777-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTS",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "024049",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "75377",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "75377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1422649",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SHP Provider Network, LLC
• Shrink Savannah
• Cathryn B. Shriver, RN, CDE
• La-Shay Shuler
• Nancy Beth Shull, M.D.
• Daniel Shuman
• Sarah Kristen Shuman, LPC
• Victoria Shuman
• Alexandrea Shumate
• Annika Siddall

• Orthopaedic Surgery Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.