Active NPI
Nathan P Shappley, M.D.
- Urology Physician
- Hattiesburg, MS
National Provider Identifier
1164446522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 06028
- Practice address
- 101 Aldersgate Cir
Hattiesburg, MS 39402-1301 - Phone
- (601) 261-5800
- Fax
- (601) 261-5813
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 06028 | MS | Primary |
Addresses
Primary practice location
101 Aldersgate Cir
Hattiesburg, MS 39402-1301
Mailing address
101 Aldersgate Cir
Hattiesburg, MS 39402-1301
Phone (601) 261-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06028 | MS | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Urology, P. a. | Current | Accepting new patients | |
| Southern Urology Surgery Center, LLC | Past | Accepting new patients |
Locations
139 Fairfield Dr
Hattiesburg, MS 39402
Phone (601) 450-2401
Organizations & group practices 2
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.
-
- Specialist
- Hattiesburg, MS
- NPI 1316065436
-
- Ambulatory Surgical Clinic/Center
- Hattiesburg, MS
- NPI 1578898276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1164446522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ALDERSGATE CIR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021301",
"telephone_number": "601-261-5800",
"fax_number": "601-261-5813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ALDERSGATE CIR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021301",
"telephone_number": "601-261-5800",
"fax_number": "601-261-5813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPPLEY",
"first_name": "NATHAN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "06028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.