Jori Lynne Shaffer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34603 Issued in TN

Practice address

8401 Highway 111
Byrdstown, TN 38549

Phone

(931) 864-3187

Fax

(931) 864-7102

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

University of Tennessee, HSC, College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Firstchoice Family CareGroup PAC ID 2668802968, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jori.shaffer.1@28997.direct.athenahealth.com

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.

• Firstchoice Family Care

  • Rural Health Clinic/Center
  • Byrdstown, TN
  • NPI 1962961466
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1205828837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HIGHWAY 111",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385496031",
            "telephone_number": "931-864-3187",
            "fax_number": "931-864-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HIGHWAY 111",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "38549",
            "telephone_number": "931-864-3187",
            "fax_number": "931-864-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JORI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "34603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3873889",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Michael Mason, M.D.
• Pickett County Goverment
• Laura B. Reagan, P.T.
• Tim Wayne Reagan, PHARMD
• Victoria Grace Reagan
• State of Tennessee (Pickett County Health Department)
• Douglas Reed Stephenson, PTA
• James Paul Tompkins, MD
• Upper Cumberland Rural Health Clinic PLLC
• Alissa Jean Vaughn, BEHAVIOR HEALTH

• Pediatrics Physician in Byrdstown, TN
• Providers in Byrdstown, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.
• 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.