George Paul Shaw Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

022056 Issued in GA

Practice address

611 N Main St
La Fayette, GA 30728-2241

Phone

(706) 638-5300

Fax

(706) 638-5323

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lafayette Family Practice

  • Family Medicine Physician
  • La Fayette, GA
  • NPI 1508058066
  NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1366485948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N MAIN ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282241",
            "telephone_number": "706-638-5300",
            "fax_number": "706-638-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAIN ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282241",
            "telephone_number": "706-638-5300",
            "fax_number": "706-638-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "GEORGE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "022056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000233494A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabatha Russell
• Gregory H Sadler, M.ED.
• Teddy A Scoggins, MD
• Shelley Ann Scruggs, P.T.
• Lauren Taylor Shank, DPT
• Jane S Shelton, E.D.D.
• Debra Ann Shepherd, RN
• Allison Renee Sikes, ABOC
• Sister'S Sitting Service, LLC
• Slate Family Dentistry

• Family Medicine Physician in La Fayette, GA
• Providers in La Fayette, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.