Individual provider Active NPI

Faye D Barclay-Shell, MD

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1164477063
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME106372 Issued in FL
Practice address
3759 Pleasant Hill Rd
Kissimmee, FL 34746
Phone
(863) 419-2723
NPI assigned
May 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01037774A IN
Pediatrics Physician 208000000X ME106372 FL
General Practice Physician 208D00000X ME106372 FL Primary

Addresses

Primary practice location

3759 Pleasant Hill Rd
Kissimmee, FL 34746

Mailing address

6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 745-3618

Other practice location 1

1215 Dunn Ave
Jacksonville, FL 32218-6330
Phone (904) 757-1998

Other practice location 2

7375 Cypress Gardens Blvd
Winter Haven, FL 33884-3246
Phone (863) 325-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100608000636 FL Practitioner - Pediatric Medicine 7214937960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Meharry Medical College School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

729 S Homestead Blvd
Homestead, FL 33030-7351
Phone (786) 379-5988

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc General Practice CurrentSince Jun 17, 2020 Accepting new patients
MD Now Medical Centers Inc General Practice CurrentSince Jun 17, 2020 Accepting new patients
Solantic of Jacksonville, LLC Emergency Medicine CurrentSince Feb 28, 2010 Accepting new patients
Major Hospital Past Accepting new patients
St Annas Medical Services Inc Past Accepting new patients
Unity Physician Group, PC Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

729 S Homestead Blvd
Homestead, FL 33030

729 S Homestead Blvd
Homestead, FL 33030
Phone (786) 379-5988

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

410 Atlantic Blvd
Neptune Beach, FL 32266
Phone (904) 223-2343

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

5616 Tuscola Blvd
North Port, FL 34287
Phone (941) 240-6273

70 Durbin Pavilion Dr
Ste 101
St Johns, FL 32259
Phone (904) 295-0038

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164477063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772044",
            "telephone_number": "904-745-3618",
            "fax_number": "904-722-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34746",
            "telephone_number": "863-419-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Dunn Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322186330",
            "country_code": "US",
            "telephone_number": "904-757-1998",
            "fax_number": "904-696-7462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7375 Cypress Gardens Blvd",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338843246",
            "country_code": "US",
            "telephone_number": "863-325-8185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARCLAY-SHELL",
        "first_name": "FAYE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01037774A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME106372",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME106372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.