Shiloh Medical Group, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

POD001018 Issued in GA

Legal business name

SHILOH MEDICAL GROUP, LLC

Practice address

1029 N Peachtree Pkwy
Ste 203
Peachtree City, GA 30269-4210

Phone

(770) 733-7560

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Harris Lewis, D.P.M.

Title

Owner Solo Practitioner

Phone

(770) 733-7560

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1316952849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 N PEACHTREE PKWY",
            "address_2": "STE#203",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694210",
            "telephone_number": "770-733-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 N PEACHTREE PKWY",
            "address_2": "STE 203",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694210",
            "telephone_number": "770-733-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER SOLO PRACTITIONER",
        "authorized_official_telephone_number": "770-733-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD001018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131408692A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Katlin Shedd
• Ann Davidson Sheerin, LPC
• Kelli M Shelton, LPC
• Shena Manning, Brighten Path Counseling,LLC
• Jeffrey A Sherman, MD
• Sarah Shrier, LPC
• Grant N Shuler
• Shyne Lite Imaging Solutions LLC
• Jennifer Siemer, MS, CCC/SLP
• Gary Steven Siliski, LPC

• Primary Podiatric Medicine Podiatrist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Primary Podiatric Medicine Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.