Organization Active NPI

Charles Brinson Shiver, III

Doing business as Charles B Shiver, III, MD

  • Internal Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1295841690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
$$$$$$$$$OtherGASSN
52237577OtherGABCBS OF GA

Other names 1

  • Charles B Shiver, III, MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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"
        }
    ]
}

Other providers in Milledgeville, GA

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.

Verify at the official NPI Registry.