Active NPI
Kevin J Shiver, FNP-BC
- Nurse Practitioner
- Eufaula, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN135083
- Practice address
- 617 E Broad St Ste B
Eufaula, AL 36027-1710 - Phone
- (334) 232-4368
- NPI assigned
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-154991 | AL | |
| Nurse Practitioner | 363L00000X | RN135083 | AL | Primary |
Addresses
Primary practice location
617 E Broad St Ste B
Eufaula, AL 36027-1710
Mailing address
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone (334) 305-2085
Other practice location 1
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone (334) 305-2085
Other practice location 2
11740 Columbia Street
Blakely, GA 39823
Phone (229) 724-4282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11740 Columbia St
Blakely, GA 39823-2574
Phone (334) 305-2085
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone (334) 305-2085
Hospital & facility affiliations
- Enhabit Home Health
- Southeast Alabama Homecare
- Medical Center Barbour
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN135083 | AL | MD | Nurse Practitioner |
| 1-154991 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Nurse Practitioner | Current | Accepting new patients |
| Muscogee Hospitalist Services, LLC | Current | Accepting new patients | |
| Wiregrass Wound & Amputation Prevention Center, LLC | Nurse Practitioner | Current | Accepting new patients |
| Benning Hospitalist Services, LLC | Current | Accepting new patients | |
| Southland Hospitalist at Ozark, PL | Current | Accepting new patients |
Locations
2967 Ross Clark Cir
Dothan, AL 36301
Phone (334) 305-2085
617 E Broad St
Eufaula, AL 36027
Phone (334) 687-3836
617 E Broad St
#B
Eufaula, AL 36027
Phone (334) 232-4368
130 N Randolph Ave
#A
Eufaula, AL 36027
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
11740 Columbia St
Ste I
Blakely, GA 39823
Phone (229) 724-3000
630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
7725 W Reno Ave
Ste 150
Oklahoma City, OK 73127
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- kjshiver@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Dothan, AL
- NPI 1730756248
GA, Nurse Practitioner
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1750608949
-
- Hospitalist Physician
- Columbus, GA
- NPI 1215442173
-
- Hospitalist Physician
- Columbus, GA
- NPI 1639681851
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
GA, Nurse Practitioner
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dothan, AL
- NPI 1770561268
-
- Home Health Agency
- Dothan, AL
- NPI 1902041247
-
- Rural Health Clinic/Center
- Louisville, AL
- NPI 1134632045
Hospital
-
- Family Medicine Physician
- Hurtsboro, AL
- NPI 1154972883
Hospital
-
- Critical Access Hospital
- Eufaula, AL
- NPI 1730692641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1215388160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2967 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011119",
"telephone_number": "334-305-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 E BROAD ST STE B",
"city": "EUFAULA",
"state": "AL",
"postal_code": "360271710",
"telephone_number": "334-232-4368"
}
],
"practiceLocations": [
{
"address_1": "2967 Ross Clark Cir",
"address_purpose": "LOCATION",
"city": "Dothan",
"state": "AL",
"postal_code": "363011119",
"country_code": "US",
"telephone_number": "334-305-2085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11740 Columbia Street",
"address_purpose": "LOCATION",
"city": "Blakely",
"state": "GA",
"postal_code": "39823",
"country_code": "US",
"telephone_number": "229-724-4282",
"fax_number": "229-724-4283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIVER",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-22",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-154991",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "RN135083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.