James Edgar Shotts Jr., MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

00003702 Issued in AL

Practice address

1300 McFarland Blvd NE
Ste 150
Tuscaloosa, AL 35406-2283

Phone

(205) 758-9041

Fax

(205) 345-8328

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1033147822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MCFARLAND BLVD NE",
            "address_2": "STE 150",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062283",
            "telephone_number": "205-758-9041",
            "fax_number": "205-345-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MCFARLAND BLVD NE",
            "address_2": "STE 150",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062283",
            "telephone_number": "205-758-9041",
            "fax_number": "205-345-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTTS",
        "first_name": "JAMES",
        "middle_name": "EDGAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00003702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005771",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051005771",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Grey Shirley, RPH
• Sara C. Shirley, SLP
• Tumkur S Shivashankara, M.D.
• Jamillia Renea Short
• Michael Shortall, MD
• David R Shulman, MD
• Waleed Waseem Siddiqi, MD
• Becky Sides
• Amritpal Singh Sidhu
• Joshua Allen Simer, ATC

• Otolaryngology Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.