Individual provider Active NPI

Shelby Hatchett, DMD

  • General Practice Dentistry
  • Panama City, FL
National Provider Identifier
1407657497
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN30287 Issued in FL
Practice address
403 E 11TH St
Panama City, FL 32401-3409
Phone
(850) 767-3350
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN30287 FL Primary

Addresses

Primary practice location

403 E 11TH St
Panama City, FL 32401-3409

Mailing address

420 Churchwell Dr Unit 9121
Panama City Beach, FL 32407-3823
Phone (731) 394-4564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250819000673 FL Practitioner - Dentist 2961901731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Kentucky College of Dentistry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1459 N US Hwy 1
Suite 2a
Ormond Beach, FL 32174-0707

1459 N US Hwy 1 2a
Ormond Beach, FL 32174-0707

403 E 11TH St
Panama City, FL 32401-3409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN30287FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pancare of Florida, Inc CurrentSince Jul 28, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients

Locations

11033 NW State Road 20
Bristol, FL 32321
Phone (850) 643-1155

106 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-4121

479 State Highway 20 E
Freeport, FL 32439
Phone (850) 835-4121

5336 10th St
Malone, FL 32445
Phone (850) 569-2021

4126 Independent Dr
Marianna, FL 32448
Phone (850) 394-4907

403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599

401 Cecil G Costin SR Blvd
Port St Joe, FL 32456
Phone (850) 229-1043

807 Highway 22
Wewahitchka, FL 32465
Phone (850) 568-1053

12427 Highway 231
Youngstown, FL 32466
Phone (850) 753-3246

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.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1407657497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHURCHWELL DR UNIT 9121",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073823",
            "telephone_number": "731-394-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013409",
            "telephone_number": "850-767-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHETT",
        "first_name": "SHELBY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN30287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.