Shelby Collymore, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

V1058 Issued in TX

Practice address

2626 South Carrier Pkwy
Ste. 300
Grand Prairie, TX 75052-5014

Phone

(972) 642-7337

Fax

(972) 642-7339

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpha Express Urgent CareGroup PAC ID 6800324179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelby.collymore@hca7.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BJDGDD/Endpoint/BJDGDD
• FHIR API: https://api.platform.athenahealth.com/24798/brand/1/csg/1/fhir/r4
• Direct secure messaging: shelby.collymore.1@24798.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 and National Provider Directory roles.

• Alpha Express Urgent Care

  • Urgent Care Clinic/Center
  • Grand Prairie, TX
  • NPI 1639993801
  Medicare reassignment Care Compare group NPD
• Alpha Express Primary Care LLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1992671184
  Medicare reassignment NPD
• Omolara Abitoye PA Dba Acclaim Pediatrics

  • Pediatrics Physician
  • Grand Prairie, TX
  • NPI 1538400437
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1215515887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 SOUTH CARRIER PKWY",
            "address_2": "ST. 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525014",
            "telephone_number": "972-642-7337",
            "fax_number": "972-642-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SOUTH CARRIER PKWY",
            "address_2": "STE. 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525014",
            "telephone_number": "972-642-7337",
            "fax_number": "972-642-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLYMORE",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V1058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Coker-Carter, MD
• Michael Oladapo Coker
• Cole Care Agency LLC
• James Bryan Cole, RBT
• Colip, Dell, and Associates, a Professional Association (Charles R Dell MD)
• Colmed Laboratories & Radiology
• Columbia Medical Center of Arlington Subsidiary LP (Medical City ER Grand Prairie, a department of Medical City Arlington)
• Comfort Cpa Care LLC
• Comfort Cruiser LLC
• Community Assisted Living of Grand Prairie, Inc. (402 Duncan Perry)

• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.