Active NPI
Kiumars E. Shams, M.D.
- Psychiatry Physician
- Graceville, FL
National Provider Identifier
1386780302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME29949
- Practice address
- 5389 Cotton St
Graceville, FL 32440-1739 - Phone
- (850) 360-4147
- Fax
- (850) 360-4068
- NPI assigned
- Jan 29, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME29949 | FL | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | ME29949 | FL | |
| Psychiatry Physician | 2084P0800X | ME29949 | FL | Primary |
Addresses
Primary practice location
5389 Cotton St
Graceville, FL 32440-1739
Mailing address
PO Box 186
Graceville, FL 32440-0186
Phone (850) 360-4147
Other practice location 1
4400 Bayou Blvd Ste 8
Pensacola, FL 32503-1908
Phone (850) 474-9882
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038295700 | Medicaid | FL | |
| 582678372 | Other | FL | TRICARE |
| 79178 | Other | FL | BCBS FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Stone Counseling LLC | Past | Accepting new patients | |
| Bingham-Turner and Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pensacola, FL
- NPI 1336260678
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pensacola, FL
- NPI 1164282224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1386780302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "GRACEVILLE",
"state": "FL",
"postal_code": "324400186",
"telephone_number": "850-360-4147",
"fax_number": "850-360-4068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5389 COTTON ST",
"city": "GRACEVILLE",
"state": "FL",
"postal_code": "324401739",
"telephone_number": "850-360-4147",
"fax_number": "850-360-4068"
}
],
"practiceLocations": [
{
"address_1": "4400 Bayou Blvd Ste 8",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325031908",
"country_code": "US",
"telephone_number": "850-474-9882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAMS",
"first_name": "KIUMARS",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME29949",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "FL",
"license": "ME29949",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME29949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038295700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "582678372",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "79178",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Graceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.