Individual provider Active NPI

Nicole M Sheffield, MD

  • Pediatrics Physician
  • Montgomery, AL
National Provider Identifier
1275506420
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35385 Issued in TN
Practice address
2895 Zelda Rd
Montgomery, AL 36106-2697
Phone
(334) 277-5431
Fax
(342) 775-4333
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35385 TN Primary

Addresses

Primary practice location

2895 Zelda Rd
Montgomery, AL 36106-2697

Mailing address

3150 Malone Dr
Montgomery, AL 36106-2647
Phone (334) 277-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230930000057 AL Practitioner - Pediatric Medicine 1850745423 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35385TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Inc Current Accepting new patients
Health Services, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Health Services Inc CurrentSince Sep 18, 2023 Accepting new patients
Health Services Inc Past Accepting new patients

Locations

2905 E South Blvd
Montgomery, AL 36116
Phone (334) 288-0009

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

Interoperability endpoints

  • Direct secure messaging: nicole.sheffield.1@14429.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1275506420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 MALONE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062647",
            "telephone_number": "334-277-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062697",
            "telephone_number": "334-277-5431",
            "fax_number": "342-775-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "35385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.