Deborah Aline Shirley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13209 Issued in MS

Practice address

5 Professional PLZ
Starkville, MS 39759-1900

Phone

(662) 323-0999

Fax

(662) 324-0250

NPI assigned

Aug 11, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Starkville Pediatric Clinic

  • Pediatrics Physician
  • Starkville, MS
  • NPI 1477660520
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1144232109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLZ",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591900",
            "telephone_number": "662-323-0999",
            "fax_number": "662-324-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL PLZ",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591900",
            "telephone_number": "662-323-0999",
            "fax_number": "662-324-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "DEBORAH",
        "middle_name": "ALINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "13209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113620",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "09015837",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathleen Anne Shepard, RRT, AE-C
• Elizabeth Claire Shepherd, OTR/L
• Christa Nichole Sherman
• Marilyn Sherrod, MS
• Mary Morgan Shipp, M.S., CCC-SLP
• William Shirley, P-LPC
• Emily A. Shows, CRNA
• Kristen Sims
• Anna Sit, MD
• Shannon Eastman Skelton, PT

• Pediatrics Physician in Starkville, MS
• Providers in Starkville, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.