Active NPI
Robert Shelley Jr., M.D.
- Orthopaedic Surgery Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 87543
- Practice address
- 210 E Derenne Ave
Savannah, GA 31405-6736 - Phone
- (912) 644-5300
- NPI assigned
- Jul 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 7557 | GA | |
| Orthopaedic Surgery Physician | 207X00000X | 53449 | KY | |
| Orthopaedic Surgery Physician | 207X00000X | 87543 | GA | Primary |
Addresses
Primary practice location
210 E Derenne Ave
Savannah, GA 31405-6736
Mailing address
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.shelley.1@16403.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Georgia School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optim Orthopedics LLC
Practice addresses (Care Compare)
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401
821 S Main St
Suite C
Baxley, GA 31513-0163
Phone (912) 705-8040
Hospital & facility affiliations
- Enhabit Home Health
- Amedisys Home Health
- Centerwell Home Health
- Enhabit Home Health Bluffton
- St Joseph'S Hospital - Savannah
- Optim Medical Center - Tattnall
- Effingham Health System
- Candler Hospital
- Savannah Health Services LLC Dba Memorial Health University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.22 of 100
- Quality
- 71.46
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 59.28
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 48 |
| Knee replacement | 40 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7557 | GA | MD | Orthopaedic Surgery Physician |
| 87543 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Tattnall Hospital Company, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Tattnall Hospital Company, LLC | Current | Accepting new patients | |
| Tattnall Hospital Company LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Optim Orthopedics, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 367-5486
242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140
790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868
961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120
247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
101 W Mulberry Blvd
Ste 140
Savannah, GA 31407
Phone (912) 348-9500
119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676
102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155
209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
Interoperability endpoints
- rshelley191955@direct.nortonhealthcare.org
Organizations & group practices 12
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.
-
- Critical Access Hospital
- Reidsville, GA
- NPI 1790942381
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1467845404
-
- Orthopaedic Surgery Physician
- Sylvania, GA
- NPI 1386455376
-
- Orthopaedic Surgery Physician
- Richmond Hill, GA
- NPI 1548653330
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
-
- Orthopaedic Surgery Physician
- Reidsville, GA
- NPI 1518613728
-
- Pain Medicine Physician
- Hinesville, GA
- NPI 1326409442
Orthopaedic Surgery
-
- Physical Medicine & Rehabilitation Physician
- Swainsboro, GA
- NPI 1467883892
Orthopaedic Surgery
-
- Internal Medicine Physician
- Dublin, GA
- NPI 1558878884
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Baxley, GA
- NPI 1588103592
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Savannah, GA
- NPI 1942483920
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- Home Health Agency
- Pooler, GA
- NPI 1649796582
-
- Home Health Agency
- Savannah, GA
- NPI 1437180767
-
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- Critical Access Hospital
- Reidsville, GA
- NPI 1790942381
-
- Home Health Agency
- Bluffton, SC
- NPI 1417473398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1326422171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-644-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-644-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLEY",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-10",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "7557",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "53449",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "87543",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.shelley.1@16403.direct.athenahealth.com",
"affiliation": "N",
"address_1": "210 E DeRenne Ave",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314056736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.