Shad Ashton Stormant

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

079703 Issued in GA

Practice address

1302 Plant Ave
Waycross, GA 31501-3537

Phone

(912) 490-5080

Fax

(912) 490-5081

NPI assigned

Sep 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Mercer University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erx Group LLCGroup PAC ID 9335037571, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
• Hospice Satilla of Mem Hosp Hospice, Waycross, GA, CCN 111517
• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• Bacon County Hospital Hospital, Alma, GA, CCN 111327
• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Merit-based Incentive Payment System (MIPS)

Final score

95.43 of 100Reported as individual

Quality

91.69

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFAICD/Endpoint/GFAICD

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.

• Ensign Family Medicine LLC

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1770224495
  Medicare reassignment NPD Authorized official
• Erx Group, LLC

  • Emergency Medicine Physician
  • Alma, GA
  • NPI 1760823082
  Medicare reassignment Care Compare group NPD

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Waycross, GA
  • NPI 1316120322
  Care Compare affiliation
• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation
• Hospice Satilla of Memorial Hospital Inc

  • Community Based Hospice Care Agency
  • Waycross, GA
  • NPI 1609835123
  Care Compare affiliation
• Southeast Georgia Health Services, L.L.C.

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1295084374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 PLANT AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013537",
            "telephone_number": "912-490-5080",
            "fax_number": "912-490-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 PLANT AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013537",
            "telephone_number": "912-490-5080",
            "fax_number": "912-490-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMANT",
        "first_name": "SHAD",
        "middle_name": "ASHTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "079703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viva Steed
• James Herbert Stevenot Sr., OD
• Lauren Stevens, RN
• Heather Leigh Stewart
• Lashunda Nicole Stone, NP-C
• Benjamin Clark Stovall, PT
• Christie Melissa Strickland, RN-NP
• Frankie Strickland, CCC-SLP
• Taylor Marie Strickland
• Ansley Stroud Sellers, SLP

• Family Medicine Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.