Conrad William Shebelut, MD

Primary specialty

Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X

License

91228 Issued in GA

Practice address

2580 Westside Pkwy
Alpharetta, GA 30004-7426

Phone

(678) 248-8000

NPI assigned

Apr 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cytometry Specialists, Inc.

  • Clinical Medical Laboratory
  • Alpharetta, GA
  • NPI 1679580286
  NPD (past)
• Cytometry Specialists, Inc.

  dba CSI Laboratories

  • Clinical Pathology/Laboratory Medicine Physician
  • El Monte, CA
  • NPI 1528703048
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1083111413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 CRESCENT WALK",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332402",
            "telephone_number": "559-269-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 WESTSIDE PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047426",
            "telephone_number": "678-248-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEBELUT",
        "first_name": "CONRAD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "GA",
            "license": "91228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M Sharp, LAPC
• Nicholas Shashy
• Courtney Shaw
• Kelley C Shaw, C.P.N.P.
• Paula Shaw
• Naima Shegow
• Shelland (Childrens Therapy Works)
• David Kenneth Shellington, M.D.
• Sheltering Arms Home Care LLC
• Haile Bryce Shelton

• Hematology (Pathology) Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Hematology (Pathology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.