Individual provider Active NPI

Shane McDougal, MD

  • Family Medicine Physician
  • Whitesburg, KY
National Provider Identifier
1104871862
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37761 Issued in KY
Practice address
214 Hospital Rd
Whitesburg, KY 41858-7627
Phone
(606) 633-4414
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37761 KY Primary

Addresses

Primary practice location

214 Hospital Rd
Whitesburg, KY 41858-7627

Mailing address

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-4414

Other identifiers 1

IdentifierTypeStateIssuer
64063126MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shanemcdougal@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040922001190 KY Practitioner - Family Practice 6709854151 Reassigns benefits to 1 organization
I20130925000126 TN Practitioner - Family Practice 6709854151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

214 Hospital Rd
Whitesburg, KY 41858-7627

240 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3500

Hospital & facility affiliations

  • Whitesburg Arh HHA Home health agency, Whitesburg, KY, CCN 187014
  • Hospice of the Bluegrass, Inc. Hospice, Hazard, KY, CCN 181526
  • Whitesburg Arh Hospital Hospital, Whitesburg, KY, CCN 180002
  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37761KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Feb 10, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Feb 10, 2019 Accepting new patients
Well-Key Health, PLLC CurrentSince Jul 9, 2013 Accepting new patients
Appalachian Regional Healthcare, Inc. PastSince Oct 17, 2018 Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

47 Highway 119 S
Ste 3
Whitesburg, KY 41858
Phone (606) 403-0001

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

101 Glenleigh Ct
Knoxville, TN 37934
Phone (865) 671-1110

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

Interoperability endpoints

  • Direct secure messaging: shanemcdougal@arh.medalliesdirect.net

Organizations & group practices 6

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 7

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1104871862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "SHANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64063126",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanemcdougal@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "214 Hospital Rd",
            "city": "Whitesburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "418587627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.