Michelle Lynn Shifflett, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN148517 Issued in GA

Practice address

814 Northwood Park Dr
Valdosta, GA 31602-1398

Phone

(229) 262-6810

NPI assigned

Jul 3, 2017

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Michelle Lynn Cook Professional name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwell Ambulatory IncGroup PAC ID 9234566779, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Merit-based Incentive Payment System (MIPS)

Final score

91.26 of 100Reported as group

Quality

91.03

Promoting interoperability

100

Improvement activities

40

Cost

79.85

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20731/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/GICJAA
• FHIR API: https://fhir4.healow.com/fhir/r4/GICJAA/Endpoint/GICJAA
• Direct secure messaging: michelle.shifflett.1@20731.direct.athenahealth.com
• Direct secure messaging: michelleshifflett@scwhpa.allscriptsdirect.net

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

• Southwell Ambulatory Inc

  dba Southwell Gastroenterology

  • Gastroenterology Physician
  • Valdosta, GA
  • NPI 1164069472
  Medicare reassignment Care Compare group NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Tift Regional Health System Inc

  dba Southwell Mobile Clinic

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1881203305
  Medicare reassignment NPD
• Southwell Ambulatory Inc

  • Multi-Specialty Clinic/Center
  • Tifton, GA
  • NPI 1306466206
  NPD
• Southwell Ambulatory Inc

  dba Southwell OB/GYN

  • Obstetrics & Gynecology Physician
  • Valdosta, GA
  • NPI 1720693047
  NPD
• Tift Regional Health System Inc

  dba WorkSmart Occupational Medicine

  • Clinic/Center
  • Tifton, GA
  • NPI 1003980996
  NPD
• Tift Regional Health System Inc

  dba Affinity Clinic

  • Pediatrics Physician
  • Tifton, GA
  • NPI 1366765166
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Southwell Ambulatory Inc

  dba Southwell Lowndes Endoscopy Center

  • Endoscopy Clinic/Center
  • Valdosta, GA
  • NPI 1215574926
  NPD (past)

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

• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Care Compare affiliation

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1073034732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PHILEMA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317017200",
            "telephone_number": "229-300-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 NORTHWOOD PARK DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021398",
            "telephone_number": "229-262-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFLETT",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN148517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "COOK",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "CNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dalton Sheltra
• Tieasha Shepherd
• Sheridan Emergency Physician Services of Georgia,LLC
• Chavonna Nichole Sherman
• Sarah B. Shevchuk, PSY.D.
• Barbara Ann Shirley
• Bryan Shiver, PA
• Nathan Buckley Shiver
• Ron L Shiver, DMD
• Amandanell McKinley Shook-Chacon, MD

• Advanced Practice Midwife in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.