Individual provider Active NPI

Stuart H Shippey III, MD

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1447236906
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME143164 Issued in FL
Practice address
1657 Trinity Dr
Pensacola, FL 32504-5708
Phone
(850) 416-2400
Fax
(850) 416-2330
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME143164 FL Primary

Addresses

Primary practice location

1657 Trinity Dr
Pensacola, FL 32504-5708

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060921000586 MD Practitioner - Obstetrics/Gynecology 1658376876 Reassigns benefits to 1 organization
I20110405001129 VA Practitioner - Obstetrics/Gynecology 1658376876 Reassigns benefits to 2 organizations
I20211013000297 FL Practitioner - Obstetrics/Gynecology 1658376876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, shared by 6 NPIs, 373 clinicians

Practice addresses (Care Compare)

1657 Trinity Dr
Pensacola, FL 32504-5708
Phone (850) 416-7710

5149 N 9TH Ave
Suite 246
Pensacola, FL 32504-8755
Phone (850) 416-1080

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME143164FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Sacred Heart Health System Inc CurrentSince Oct 1, 2021 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince May 25, 2021 Accepting new patients
Riverside Hospital Inc. Obstetrics & Gynecology CurrentSince Aug 23, 2017 Accepting new patients
Riverside Hospital Inc Current Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince May 25, 2021 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 1, 2020 Accepting new patients
Riverside Hospital Inc CurrentSince Aug 23, 2017 Accepting new patients

Locations

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188

1657 Trinity Dr
Pensacola, FL 32504
Phone (850) 416-2400

5149 N 9th Ave
Ste 246
Pensacola, FL 32504
Phone (850) 416-1080

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

500 J Clyde Morris Blvd
Ste 500
Newport News, VA 23601
Phone (757) 873-1317

10510 Jefferson Ave
Ste D
Newport News, VA 23601
Phone (757) 594-4720

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

Interoperability endpoints

  • Direct secure messaging: stuart.shippey.1@9582.direct.athenahealth.com
  • Direct secure messaging: stuart.shippey.2@9582.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1447236906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 TRINITY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045708",
            "telephone_number": "850-416-2400",
            "fax_number": "850-416-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPEY",
        "first_name": "STUART",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME143164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.