Individual provider Active NPI

Joseph Alan Shaw, MD

  • Internal Medicine Physician
  • Athens, AL
National Provider Identifier
1073134672
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44078 Issued in AL
Practice address
22454 US Highway 72 Ste 330
Athens, AL 35613-2678
Phone
(256) 262-6380
Fax
(256) 262-6384
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AL
Internal Medicine Physician 207R00000X 44078 AL Primary

Addresses

Primary practice location

22454 US Highway 72 Ste 330
Athens, AL 35613-2678

Mailing address

22454 US Highway 72 Ste 330
Athens, AL 35613-2678
Phone (256) 262-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604003436 AL Practitioner - Internal Medicine 8123441656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Internal MedicineGroup PAC ID 8022300409, 5 clinicians

Practice addresses (Care Compare)

22454 US Hwy 72
Suite 330
Athens, AL 35613-2609
Phone (256) 262-6380

Hospital & facility affiliations

  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44078ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Internal Medicine Internal Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

22454 US Highway 72
Ste 330
Athens, AL 35613
Phone (256) 262-6380

Organizations & group practices 1

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1073134672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22454 US HIGHWAY 72 STE 330",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132678",
            "telephone_number": "256-262-6380",
            "fax_number": "256-262-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22454 US HIGHWAY 72 STE 330",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132678",
            "telephone_number": "256-262-6380",
            "fax_number": "256-262-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "44078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.