Shontae R Buffington, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

71051 Issued in GA

Practice address

3300 4TH St
Brunswick, GA 31520-3779

Phone

(912) 466-5870

Fax

(912) 466-5883

NPI assigned

Aug 19, 2006

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Female

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

Enrolled in GA

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

Specialty

Pediatric Medicine

Education

Howard University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Coastal Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1609298751
  Medicare reassignment NPD
• Coastal Community Health Services, Inc.

  dba Coastal Community Health County Clinic

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1063282937
  NPD
• Coastal Community Health Services, Inc.

  dba Coastal Community Health - Pooler

  • Federally Qualified Health Center (FQHC)
  • Pooler, GA
  • NPI 1871350090
  NPD (past)
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1083729446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 4TH ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203779",
            "telephone_number": "912-466-5870",
            "fax_number": "912-466-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 4TH ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203779",
            "telephone_number": "912-466-5870",
            "fax_number": "912-466-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "SHONTAE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "71051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Andrew Bryan, DPT
• Elena V Bryant, MD
• Olga J Bryant, SLP004314
• Nicholas Buchanan, MD
• Ian Buchli, O.D.
• Build and Restore, LLC (BAR Health)
• Mulugeta Teka Bulti
• Oana Radu Bulugean, M.D.
• Iris Heather Burandt, FNP
• Candice Burns, RN

• Pediatrics Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.