Active NPI
Charles Brinson Shiver, III
Doing business as Charles B Shiver, III, MD
- Internal Medicine Physician
- Milledgeville, GA
National Provider Identifier
1295841690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHARLES BRINSON SHIVER, III
- Doing business as
- Charles B Shiver, III, MD
- Practice address
- 641 W Thomas St
Milledgeville, GA 31061-2337 - Phone
- (478) 453-0662
- Fax
- (478) 452-8067
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bobbie J Morgan
- Title
- Practice Manager
- Phone
- (478) 453-0662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
641 W Thomas St
Milledgeville, GA 31061-2337
Mailing address
641 W Thomas St
Milledgeville, GA 31061-2337
Phone (478) 453-0662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | GA | SSN |
| 52237577 | Other | GA | BCBS OF GA |
Other names 1
- Charles B Shiver, III, MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Milledgeville, GA
- NPI 1376574905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295841690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 W THOMAS ST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310612337",
"telephone_number": "478-453-0662",
"fax_number": "478-452-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 W THOMAS ST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310612337",
"telephone_number": "478-453-0662",
"fax_number": "478-452-8067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES BRINSON SHIVER, III",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "BOBBIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "478-453-0662",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA",
"identifier": "52237577",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Charles B Shiver, III, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Jessica Chatman
- Cherokee Rose Mammography LLC
- Evan Marie Cherone, ATC
- Chigorziri D. Umuna
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.