Individual provider Active NPI

David L Shumans, M.D.

  • Family Medicine Physician
  • Hazlehurst, GA
National Provider Identifier
1114910718
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
034242 Issued in GA
Practice address
38 S Tallahassee St
Suite 2
Hazlehurst, GA 31539-6261
Phone
(912) 375-9424
Fax
(912) 374-9426
NPI assigned
Aug 30, 2005
Last updated
Jul 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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 034242 GA Primary

Addresses

Primary practice location

38 S Tallahassee St
Suite 2
Hazlehurst, GA 31539-6261

Mailing address

38 S Tallahassee St
Suite 2
Hazlehurst, GA 31539-6261
Phone (912) 375-9424

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101021000239 GA Practitioner - Family Practice 5496785446 Practice locations: Hazlehurst, GA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034242GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Hazlehurst Primary Care, PC PastSince Jan 1, 1990 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1114910718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S TALLAHASSEE ST",
            "address_2": "SUITE 2",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396261",
            "telephone_number": "912-375-9424",
            "fax_number": "912-375-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S TALLAHASSEE ST",
            "address_2": "SUITE 2",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396261",
            "telephone_number": "912-375-9424",
            "fax_number": "912-374-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMANS",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, GA

Sources for this page

Verify at the official NPI Registry.