Individual provider Active NPI

Shelby T Davis, AUD

  • Audiologist
  • Tuscaloosa, AL
National Provider Identifier
1184353773
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1246A Issued in AL
Practice address
302 Merchants Walk Ste 100
Tuscaloosa, AL 35406-2291
Phone
(205) 523-9300
Fax
(205) 523-9301
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1246A AL Primary

Addresses

Primary practice location

302 Merchants Walk Ste 100
Tuscaloosa, AL 35406-2291

Mailing address

302 Merchants Walk Ste 100
Tuscaloosa, AL 35406-2291
Phone (205) 523-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728001013 AL Practitioner - Qualified Audiologist 4183006844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Ear, Nose and Throat Specialists, LLCGroup PAC ID 7719104504, 5 clinicians

Practice addresses (Care Compare)

302 Merchants Walk
Suite 100
Tuscaloosa, AL 35406-2291
Phone (205) 523-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Ear, Nose & Throat Specialists, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

302 Merchants Walk
Ste 100
Tuscaloosa, AL 35406
Phone (205) 523-9300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHCHCA

Organizations & group practices 1

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1184353773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MERCHANTS WALK STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062291",
            "telephone_number": "205-523-9300",
            "fax_number": "205-523-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MERCHANTS WALK STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062291",
            "telephone_number": "205-523-9300",
            "fax_number": "205-523-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHELBY",
        "middle_name": "T",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1246A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.