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Individual provider Active NPI

Michelle Alexander Shelton, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1124074489
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33828 Issued in TN
Practice address
5146 Stage Road
Suite 101
Memphis, TN 38134-3139
Phone
(901) 377-3475
Fax
(901) 377-8068
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33828 TN Primary
Family Medicine Physician 207Q00000X E-6733 AR

Addresses

Primary practice location

5146 Stage Road
Suite 101
Memphis, TN 38134-3139

Mailing address

5146 Stage Rd 101
Memphis, TN 38134-3139
Phone (901) 377-3593

Other identifiers 1

IdentifierTypeStateIssuer
3162048OtherTNBLUE CROSS IDENTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000663 TN Practitioner - Family Practice 2264527613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

5146 Stage Rd
Suite 101
Memphis, TN 38134-3139
Phone (901) 377-3475

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33828TNMDPharmacist
E-6733ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Dec 1, 2018 Accepting new patients
Michelle a. Shelton, MD, LLC Family Medicine CurrentSince Jan 8, 2010 Accepting new patients
James G Alexander Jr DDS MD PLLC Family Medicine Past Accepting new patients
Family Care Group PC Family Medicine PastSince May 4, 2009 Accepting new patients

Locations

228 W Tyler Ave
Ste 307
West Memphis, AR 72301
Phone (870) 735-1152

6555 Stage Rd
Ste 1
Bartlett, TN 38134
Phone (901) 377-3475

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

5146 Stage Rd
Ste 101
Memphis, TN 38134
Phone (901) 377-3475

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 4

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 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1124074489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 STAGE RD 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343139",
            "telephone_number": "901-377-3593",
            "fax_number": "901-377-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 STAGE ROAD",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343139",
            "telephone_number": "901-377-3475",
            "fax_number": "901-377-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MICHELLE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "33828",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-6733",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDENTIFICATION",
            "identifier": "3162048",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.