Individual provider Active NPI

Stephen Watson Shiver Sr., D.M.D.

  • General Practice Dentistry
  • Nashville, GA
National Provider Identifier
1366449407
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8148 Issued in GA
Practice address
410 E. McPherson Ave
Nashville, GA 31639-2275
Phone
(229) 686-7451
Fax
(229) 686-7547
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014003395 GA Order and Referring Only - DentistPractitioner - Dentist 6507175478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8148 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

410 E. McPherson Ave
Nashville, GA 31639-2275

Mailing address

410 E. McPherson Ave
Nashville, GA 31639-2275
Phone (229) 686-7451

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366449407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E. MCPHERSON AVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392275",
            "telephone_number": "229-686-7451",
            "fax_number": "229-686-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E. MCPHERSON AVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392275",
            "telephone_number": "229-686-7451",
            "fax_number": "229-686-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVER",
        "first_name": "STEPHEN",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, GA

Sources for this page

Verify at the official NPI Registry.