Active NPI
Charles Brinson Shiver III, M.D.
- Internal Medicine Physician
- Milledgeville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 044333
- Practice address
- 2803 N Columbia St Unit D
Milledgeville, GA 31061-6448 - Phone
- (478) 453-0662
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 044333 | GA | Primary |
Addresses
Primary practice location
2803 N Columbia St Unit D
Milledgeville, GA 31061-6448
Mailing address
2803 N Columbia St Unit D
Milledgeville, GA 31061-6448
Phone (478) 453-0662
Other practice location 1
641 W Thomas St
Milledgeville, GA 31061-2337
Phone (478) 453-0662 ext. 228
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040817000028 | GA | Practitioner - Internal Medicine | 6608849815 |
Reassigns benefits to 1 organization Practice locations: Milledgeville, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Health Services of Central Georgia
Practice addresses (Care Compare)
1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600
2803 N Columbia St
Unit D
Milledgeville, GA 31061-6448
Phone (478) 453-0662
Hospital & facility affiliations
- Adoration Home Health
- Amedisys Home Health of Macon
- Enhabit Home Health
- Enhabit Home Health
- Georgia Hospice Care
- Atrium Health Navicent the Medical Center
- Navicent Health Baldwin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044333 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine S. Roberts | Internal Medicine | Current | Accepting new patients |
| John Wesley King, Jr. | Current | Accepting new patients | |
| Oconee Internal Medicine, LLC | Internal Medicine | Current | Accepting new patients |
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Charles Brinson Shiver, III | Internal Medicine | Past | Accepting new patients |
Locations
770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
641 W Thomas St
Milledgeville, GA 31061
Phone (478) 452-6252
2803 N Columbia St
Unit D
Milledgeville, GA 31061
Phone (478) 414-5820
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
Interoperability endpoints
- cshiver433598@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
- Pulmonary Disease Physician
- Milledgeville, GA
- NPI 1558374041
-
- Internal Medicine Physician
- Milledgeville, GA
- NPI 1962802108
Internal Medicine
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Internal Medicine Physician
- Milledgeville, GA
- NPI 1295841690
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Macon, GA
- NPI 1356399018
-
- Home Health Agency
- Macon, GA
- NPI 1972762599
-
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
-
- Home Health Agency
- Milledgeville, GA
- NPI 1962139675
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1376574905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 N COLUMBIA ST UNIT D",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310616448",
"telephone_number": "478-453-0662",
"fax_number": "478-452-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 N COLUMBIA ST UNIT D",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310616448",
"telephone_number": "478-453-0662"
}
],
"practiceLocations": [
{
"address_1": "641 W Thomas St",
"address_purpose": "LOCATION",
"city": "Milledgeville",
"state": "GA",
"postal_code": "310612337",
"country_code": "US",
"telephone_number": "478-453-0662 x228",
"fax_number": "478-452-8067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIVER",
"first_name": "CHARLES",
"middle_name": "BRINSON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "044333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.