Organization Active NPI

William a Shelton Jr MD

  • Family Medicine Physician
  • South Hill, VA
National Provider Identifier
1053596338
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101033377 Issued in VA
Legal business name
WILLIAM A SHELTON JR MD
Practice address
821 W Danville St
South Hill, VA 23970-3003
Phone
(434) 447-3637
Fax
(434) 447-5070
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. William A Shelton Jr., MD
Title
Owner
Phone
(434) 447-3637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101033377 VA Primary

Addresses

Primary practice location

821 W Danville St
South Hill, VA 23970-3003

Mailing address

PO Box 359
South Hill, VA 23970-0359
Phone (434) 447-3637

Other identifiers 2

IdentifierTypeStateIssuer
006944OtherVAANTHEM
890584YMedicaidNC

National Provider Directory

National Provider Directory

Locations

821 W Danville St
South Hill, VA 23970
Phone (434) 447-3637

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1053596338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700359",
            "telephone_number": "434-447-3637",
            "fax_number": "434-447-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W DANVILLE ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239703003",
            "telephone_number": "434-447-3637",
            "fax_number": "434-447-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A SHELTON JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-447-3637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101033377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "006944",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890584Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.