Shelley L Snodgrass, MD
Individual provider Active NPI Internal Medicine Physician · Fishersville, VA
NPI 1154345932 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1154345932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101239974 (VA)
- Practice address
- 53 S Medical Park Dr
Fishersville, VA 22939-2333 - Phone
- (540) 932-5687
- Fax
- (540) 932-5688
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Augusta Medical Group
Practice addresses (Care Compare)
53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 932-5667
Hospital & facility affiliations
- Augusta Home Care,
- Amedisys Home Health Care
- Hospice of the Shenandoah
- Augusta Health
- University of Virginia Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Augusta Health Maury River Family Practice |
Rural health clinic | Corporate Director W-2 Managing Employee |
Sep 25, 2006 Sep 25, 2006 |
| Augusta Health Primary Care Lexington |
Rural health clinic | Corporate Director W-2 Managing Employee |
Sep 25, 2006 Sep 25, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060921000205 | VA | Practitioner - Internal Medicine | 6507861770 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239974 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Medical Group | Current |
Accepting new patients | |
| Augusta Medical Group | Current |
Accepting new patients | |
| Wayne General Hospital | Past | Accepting new patients | |
| Mississippi Family Medicine P C | Past |
Accepting new patients |
Locations
1005 Heathercroft Cir
Ste 400
Crozet, VA 22932
Phone (434) 823-7896
57 N Medical Park Dr
Ste 101
Fishersville, VA 22939
Phone (540) 221-7170
70 Medical Center Cir
Ste 108
Fishersville, VA 22939
Phone (540) 221-7180
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950
Interoperability endpoints
- shelley.snodgrass.1@14718.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101239974 | VA | Yes |
Addresses
Primary practice location
53 S Medical Park Dr
Fishersville, VA 22939-2333
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5168
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shelley.snodgrass.1@14718.direct.athenahealth.com |
NPI Registry JSON
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1154345932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390388",
"telephone_number": "540-932-5168",
"fax_number": "540-932-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 S MEDICAL PARK DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392333",
"telephone_number": "540-932-5687",
"fax_number": "540-932-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNODGRASS",
"first_name": "SHELLEY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101239974",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shelley.snodgrass.1@14718.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging Address",
"address_1": "53 S Medical Park Dr",
"city": "Fishersville",
"state": "VA",
"country_code": "US",
"postal_code": "229392333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fishersville, VA
- Jeremy Jacob Smith
- Katherine Smith
- Mayumi B Smitka
- Anastasia Snelling
- Russel G Snodgrass
- Talisa Snow
- Kari L Somers
- SP Fishersville, LLC
- Sharon Barr Spalding
- Ashley Nicholl Sparler
All providers in Fishersville, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.