Shelby Diane Daffin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2047 Gees Mill Rd NE
Suite 213
Conyers, GA 30013-1359

Phone

(770) 602-0965

Fax

(770) 602-0964

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Diane Handley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1346499316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 GEES MILL RD NE",
            "address_2": "SUITE 213",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131359",
            "telephone_number": "770-602-0965",
            "fax_number": "770-602-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 GEES MILL RD NE",
            "address_2": "SUITE 213",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131359",
            "telephone_number": "770-602-0965",
            "fax_number": "770-602-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFIN",
        "first_name": "SHELBY",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "HANDLEY",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Conyers, GA
• Providers in Conyers, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.