Shipley & Sills Family Practice, PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SHIPLEY & SILLS FAMILY PRACTICE, PLLC

Practice address

8101 McClure Dr Ste 203
Fort Smith, AR 72916-6044

Phone

(479) 242-2577

Fax

(479) 434-5987

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Sarah Guillory

Title

Business Manager

Phone

(479) 242-2577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunny Bray, NP-C

  • Family Nurse Practitioner
  • Fort Smith, AR
  • NPI 1437517281
  Medicare reassignment NPD
• Wendy A. Gaston, APN

  • Family Nurse Practitioner
  • Ratcliff, AR
  • NPI 1548204654
  Medicare reassignment NPD
• Donna M Shipley, MD

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1205970209
  Medicare reassignment NPD
• David B Sills, MD

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1063409878
  Medicare reassignment NPD
• Janice Sudbrink, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
  • NPI 1295192847
  Medicare reassignment NPD

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1104105972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 MCCLURE DR STE 203",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166044",
            "telephone_number": "792-422-5774",
            "fax_number": "479-434-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MCCLURE DR STE 203",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166044",
            "telephone_number": "479-242-2577",
            "fax_number": "479-434-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPLEY & SILLS FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "479-242-2577"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Danielle Shepherd
• Shaunda Sheppard, QBHP
• Caroline Sherman
• William M Sherrill, M.D.
• Shift Peak Performance LLC
• Caitlyn Marie Shipley, APRN
• Donna M Shipley, MD
• Lisa Ann Shipman
• Saloni Shirke, MD
• Halimat Omowunmi Shittu, M.D.

• Adult Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Adult Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.