Individual provider Active NPI

Kevin J Shiver, FNP-BC

  • Nurse Practitioner
  • Eufaula, AL
National Provider Identifier
1215388160
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN135083 Issued in AL
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

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170609001604 AL Practitioner - Nurse Practitioner 3678841913 Reassigns benefits to 3 organizations
I20170830004017 GA Practitioner - Nurse Practitioner 3678841913 Reassigns benefits to 4 organizations

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
Wiregrass Wound and Amputation Prevention Center LLCGroup PAC ID 0143623439, 4 clinicians

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 Home health agency, Dothan, AL, CCN 017053
  • Southeast Alabama Homecare Home health agency, Dothan, AL, CCN 017024
  • Medical Center Barbour Hospital, Eufaula, AL, CCN 011307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN135083ALMDNurse Practitioner
1-154991ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Muscogee Hospitalist Services, LLC CurrentSince May 15, 2020 Accepting new patients
Wiregrass Wound & Amputation Prevention Center, LLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Benning Hospitalist Services, LLC CurrentSince May 15, 2020 Accepting new patients
Southland Hospitalist at Ozark, PL CurrentSince Feb 18, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.