Michelle a. Shelton, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHELLE A. SHELTON, MD, LLC

Practice address

5146 Stage Rd Ste 101
Bartlett, TN 38134-3139

Phone

(901) 377-3475

Fax

(901) 377-8068

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Alexander Shelton, MDNPI 1124074489

Title

Ceo

Phone

(901) 377-3475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Alexander Shelton, MD

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1124074489
  Medicare reassignment NPD Authorized official
• Gisele Allen Goff, MD

  • Family Medicine Physician
  • Bartlett, TN
  • NPI 1851344857
  NPD (past)
• Latanya Asenath Simpson, M.D.

  • Family Medicine Physician
  • Rossville, TN
  • NPI 1942324470
  NPD (past)
• Brenda Stanton-Deener, DNP, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1760591523
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1033437868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 STAGE RD STE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343139",
            "telephone_number": "901-377-3475",
            "fax_number": "901-377-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 STAGE RD STE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343139",
            "telephone_number": "901-377-3475",
            "fax_number": "901-377-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A. SHELTON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-377-3475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mid South Vision Center PLLC
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• Mid-South Hemophilia and Thrombosis Center, Inc.
• Mid-South Rectal Clinic, Inc.
• Mid-South Urgent Care, PLLC

• Family Medicine Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.