Individual provider Active NPI

Emily Alyss Shelton, M.D.

  • Obstetrics & Gynecology Physician
  • Carrollton, GA
National Provider Identifier
1356875512
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
88689 Issued in GA
Practice address
706 Dixie St Ste 200
Carrollton, GA 30117-3889
Phone
(770) 214-2121
Fax
(770) 214-2124
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 88689 GA Primary

Addresses

Primary practice location

706 Dixie St Ste 200
Carrollton, GA 30117-3889

Mailing address

706 Dixie St Ste 220
Carrollton, GA 30117-3889
Phone (770) 838-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210618002079 GA Practitioner - Obstetrics/Gynecology 3870867062 Reassigns benefits to 1 organization
I20210701001550 AL Practitioner - Obstetrics/Gynecology 3870867062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians
Wedowee Specialty Clinic IncGroup PAC ID 8325447642, 6 clinicians

Practice addresses (Care Compare)

1030 Main St S
Suite 201
Wedowee, AL 36278-7440
Phone (256) 357-2188

706 Dixie St
Suite 200
Carrollton, GA 30117-3819
Phone (770) 214-2121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88689GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 2, 2021 Accepting new patients
Wedowee Specialty Clinic Inc Obstetrics & Gynecology CurrentSince Aug 2, 2021 Accepting new patients
Tanner Medical Center, Inc Past Accepting new patients
TMC Children'S Healthcare of West Georgia Past Accepting new patients
Tanner Primary Care of Wedowee Inc Past Accepting new patients

Locations

1030 Main St S
Ste A
Wedowee, AL 36278
Phone (256) 357-2188

1030 Main St S
Ste 201
Wedowee, AL 36278
Phone (256) 357-2188

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

706 Dixie St
Ste 200
Carrollton, GA 30117
Phone (770) 214-2121

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1356875512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 220",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173889",
            "telephone_number": "770-838-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 200",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173889",
            "telephone_number": "770-214-2121",
            "fax_number": "770-214-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "EMILY",
        "middle_name": "ALYSS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "88689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.