Individual provider Active NPI

Shields Weaver Callahan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lynchburg, VA
National Provider Identifier
1265787618
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0101262530 Issued in VA
Practice address
1330 Oak LN Ste 101
Lynchburg, VA 24503-2513
Phone
(434) 847-6132
Fax
(434) 845-4870
NPI assigned
Jul 20, 2012
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101262530 VA
MOHS-Micrographic Surgery Physician 207ND0101X 0101262530 VA Primary

Addresses

Primary practice location

1330 Oak LN Ste 101
Lynchburg, VA 24503-2513

Mailing address

27 Clarke Rd
Richmond, VA 23226-1652
Phone (646) 509-9291

Other practice location 1

9000 Stony Point Parkway
Pob 980304
Richmond, VA 23235-0304
Phone (804) 560-8919

Other practice location 2

1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-9595

Other practice location 3

401 N 11th St
Richmond, VA 23298-1901
Phone (804) 828-9595

Other practice location 4

9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 828-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20171129003338 VA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1951668979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Northwestern University Feinberg Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Dermatology PCGroup PAC ID 6204267651, 10 clinicians

Practice addresses (Care Compare)

7300 Ashlake Pkwy
Suite 102
Chesterfield, VA 23832-2827
Phone (804) 326-4448

Merit-based Incentive Payment System (MIPS)

Final score
99.08 of 100Reported as group
Quality
98.17
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision270
Removal of skin lesions118
Removal of skin cancer753
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262530VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Dermatology P.C. Dermatology CurrentSince Jan 1, 2023 Accepting new patients

Locations

7300 Ashlake Pkwy
Ste 101
Chesterfield, VA 23832

7300 Ashlake Pkwy
Ste 102
Chesterfield, VA 23832
Phone (804) 326-4448

5207 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 326-4448

1300 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 326-4448

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1265787618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CLARKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261652",
            "telephone_number": "646-509-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAK LN STE 101",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032513",
            "telephone_number": "434-847-6132",
            "fax_number": "434-845-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Stony Point Parkway",
            "address_2": "POB 980304",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232350304",
            "country_code": "US",
            "telephone_number": "804-560-8919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-9595",
            "fax_number": "804-828-9596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232981901",
            "country_code": "US",
            "telephone_number": "804-828-9595",
            "fax_number": "804-828-9596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9109 Stony Point Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351979",
            "country_code": "US",
            "telephone_number": "804-828-9595",
            "fax_number": "804-560-8993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "SHIELDS",
        "middle_name": "WEAVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101262530",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101262530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.