Individual provider Active NPI

Shawn P Stallings, M.D.

  • Maternal & Fetal Medicine Physician
  • Columbia, MO
National Provider Identifier
1184616369
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
2023010936 Issued in MO
Practice address
500 N Keene St Ste 406
Columbia, MO 65201-8104
Phone
(573) 499-6041
Fax
(573) 499-6091
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-16229 AR
Obstetrics & Gynecology Physician 207V00000X 81512 WI
Obstetrics & Gynecology Physician 207V00000X C2237 KY
Maternal & Fetal Medicine Physician 207VM0101X 81512 WI
Maternal & Fetal Medicine Physician 207VM0101X MD-36924 TN
Maternal & Fetal Medicine Physician 207VM0101X E-16229 AR
Maternal & Fetal Medicine Physician 207VM0101X C2237 KY
Maternal & Fetal Medicine Physician 207VM0101X 2023010936 MO Primary

Addresses

Primary practice location

500 N Keene St Ste 406
Columbia, MO 65201-8104

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other identifiers 1

IdentifierTypeStateIssuer
3879535MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI, MO, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100610000911 TN Practitioner - Obstetrics/Gynecology 1850421223 Reassigns benefits to 2 organizations
I20230418001872 WI Practitioner - Obstetrics/Gynecology 1850421223 Reassigns benefits to 1 organization
I20230823004041 MO Practitioner - Obstetrics/Gynecology 1850421223 Reassigns benefits to 1 organization
I20240618002449 KY Practitioner - Obstetrics/Gynecology 1850421223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

601 S Floyd St
Suite 700
Louisville, KY 40202-1845
Phone (502) 629-7181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16229ARMDMaternal & Fetal Medicine Physician
C2237KYMDMaternal & Fetal Medicine Physician
MD-36924TNMDMaternal & Fetal Medicine Physician
81512WIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Oct 9, 2023 Accepting new patients
Kentuckyone Health Medical Group, Inc. Obstetrics & Gynecology CurrentSince Aug 3, 2024 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Apr 10, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Apr 10, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 13, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 5, 2010 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 13, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Obstetrics & Gynecology CurrentSince May 5, 2010 Accepting new patients
Pediatrix Medical Group of Tennessee, P.C. Obstetrics & Gynecology CurrentSince Feb 1, 2016 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Regional Obstetrical Consultants PC Maternal & Fetal Medicine PastSince Aug 1, 2000 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

170 N Eagle Creek Dr
Ste 110
Lexington, KY 40509
Phone (859) 263-0141

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

601 S Floyd St
Ste 700
Louisville, KY 40202
Phone (502) 629-7181

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

301 NE Mulberry St
Ste 102
Lees Summit, MO 64086
Phone (816) 932-3207

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

100 E 37th St
Chattanooga, TN 37410
Phone (423) 778-2700

910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044

979 E 3rd St
Ste C730
Chattanooga, TN 37403
Phone (423) 778-2580

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1924 Alcoa Hwy
#600
Knoxville, TN 37920
Phone (865) 544-6060

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

210 23rd Ave N
Ste 420
Nashville, TN 37203
Phone (615) 301-6720

300 Stonecrest Blvd
Ste 290
Smyrna, TN 37167
Phone (615) 459-2051

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1116
  • Direct secure messaging: sstallings779045@direct.emplifyhealth.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1184616369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST STE 406",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-499-6041",
            "fax_number": "573-499-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "SHAWN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-16229",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "81512",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "C2237",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "81512",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "MD-36924",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AR",
            "license": "E-16229",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "C2237",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2023010936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3879535",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "500 N Keene St Ste 406",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.