Nicole Shaw, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33974 Issued in AL

Practice address

1890 Al Highway 157 Ste 300
Cullman, AL 35058-0689

Phone

(256) 737-8051

Fax

(256) 737-8059

NPI assigned

May 7, 2013

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 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

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cullman Internal Medicine, PCGroup PAC ID 2365354339, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Centerwell Home Health Home health agency, Cullman, AL, CCN 017171
• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD
• Direct secure messaging: nicole.shaw.cullmaninternalmedicine@cim.direct.systemedx.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.

• Cullman Internal Medicine, PC

  • Internal Medicine Physician
  • Cullman, AL
  • NPI 1619920519
  Medicare reassignment Care Compare group NPD
• NWMC Winfield Physicians LLC

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1366831380
  Medicare reassignment NPD

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

• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Care Compare affiliation
• Eh Health Home Health of Birmingham, LLC

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation
• Mid-South Home Health, LLC

  • Home Health Agency
  • Cullman, AL
  • NPI 1285885285
  Care Compare affiliation

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1285079020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157 STE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-737-8051",
            "fax_number": "256-737-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157 STE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-737-8051",
            "fax_number": "256-737-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "33974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathreen Hope Shaffer
• Lillian Shade Shaffer, MMS, PA-C
• Hobert J Sharpton Jr., DO
• Amy Shaw
• Laura M Shaw, LPC
• Shane Lee Sheffield, MD
• Tamara Morris Sheffield, MD
• Christy Shelton, RN
• Mark Shelton, RPH
• Heather Anne Shiflett, PHARMD

• Family Medicine Physician in Cullman, AL
• Providers in Cullman, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.