Active NPI
Sylvia Shellenberger, M.D.
- Psychologist
- Macon, GA
National Provider Identifier
1306812540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3780 Eisenhower Pkwy
Macon, GA 31206-0800 - Phone
- (478) 633-5550
- Fax
- (478) 784-3550
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | GA | Primary |
Addresses
Primary practice location
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Mailing address
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone (478) 633-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000238268C | Medicaid | GA | |
| 680015751 | Other | GA | RAILROAD MCR - HSCG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000783 | GA | MD | Speech-Language Pathologist |
| 783 | GA | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Health Services of Central Georgia, Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1306812540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 EISENHOWER PKWY",
"city": "MACON",
"state": "GA",
"postal_code": "312060800",
"telephone_number": "478-633-5500",
"fax_number": "478-784-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 EISENHOWER PKWY",
"city": "MACON",
"state": "GA",
"postal_code": "312060800",
"telephone_number": "478-633-5550",
"fax_number": "478-784-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLENBERGER",
"first_name": "SYLVIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000238268C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR - HSCG",
"identifier": "680015751",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.