NPIMap

Individual provider Active NPI

Shaun Hoenstine, M.D.

  • Internal Medicine Physician
  • Thomasville, GA
National Provider Identifier
1245694157
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82417 Issued in GA
Practice address
100 S Madison St
Thomasville, GA 31792-5473
Phone
(229) 236-0831
Fax
(229) 236-0871
NPI assigned
Apr 6, 2016
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 82417 GA Primary

Addresses

Primary practice location

100 S Madison St
Thomasville, GA 31792-5473

Mailing address

PO Box 100265
Gainesville, FL 32610-0265
Phone (352) 265-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230000281 GA Practitioner - Internal Medicine 1759677826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Bainbridge Hospitalist Group, LLCGroup PAC ID 7214248335, 54 clinicians
Southland Hospitalist Group, LLCGroup PAC ID 8022272913, 22 clinicians

Practice addresses (Care Compare)

903 N Court St
Quitman, GA 31643-1315
Phone (229) 263-4171

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82417GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Jul 15, 2021 Accepting new patients
Southland Hospitalist Group, LLC CurrentSince Oct 12, 2019 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
John D Archbold Memorial Hospital Inc Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1245694157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100265",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100265",
            "telephone_number": "352-265-0239",
            "fax_number": "352-265-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MADISON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925473",
            "telephone_number": "229-236-0831",
            "fax_number": "229-236-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOENSTINE",
        "first_name": "SHAUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "82417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.