NPIMap

Organization Active NPI

Shepherd Center Inc

  • Long Term Care Hospital
  • Atlanta, GA
National Provider Identifier
1043311715
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
SHEPHERD CENTER INC
Practice address
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone
(404) 367-1383
NPI assigned
Sep 26, 2006
Last updated
Nov 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Sarah Morrison
Title
Ceo
Phone
(404) 352-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X NU
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

2020 Peachtree Rd NW
Atlanta, GA 30309-1426

Mailing address

2020 Peachtree Rd NW
Atlanta, GA 30309-1426

Other identifiers 2

IdentifierTypeStateIssuer
00248069AMedicaidGA
100009OtherGABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040514000768 GA Part B Supplier - Clinic/Group Practice 1052301777 Receives reassigned benefits from 78 practitioners
Practice locations: Atlanta, GA; Decatur, GA
O20101027000989 GA Part A Provider - Hospital 1052301777 Practice locations: Atlanta, GA; Decatur, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043311715. Details of each certification follow.

Hospital certification: CCN 112003

Legal name
SHEPHERD CENTER, INC.
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 1984
Last certification
May 10, 2024
Beds
152
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 21, 1975 in GA
Enrollment address
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Shepherd CenterCCN 112003 · All quality measures
Ownership
Non-profit
Certified
Apr 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Beds
152

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0259055Shepherd Center2020 Peachtree Road, NW, Atlanta, GA 30309AccreditationSep 11, 2026

National Provider Directory

National Provider Directory

Locations

80 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 603-4314

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Harold Shepherd Individual Corporate OfficerCeo Aug 1, 2024
W-2 Managing EmployeeCeo Aug 1, 2024
Patricia Stewart Individual Operational/Managerial Control Jan 1, 2020
Beth Craven Giles Individual Corporate OfficerCfo Aug 1, 2024

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

Affiliated clinicians 48

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1043311715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091426",
            "telephone_number": "404-367-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-352-2020"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00248069A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "100009",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.