Active NPI
Nes of Shelby Inc
- Emergency Medicine Physician
- Valdosta, GA
National Provider Identifier
1447701065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- NES OF SHELBY INC
- Practice address
- 2501 N Patterson St
Valdosta, GA 31602-1735 - Phone
- (229) 333-1000
- NPI assigned
- Oct 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Moore
- Title
- Ceo
- Phone
- (415) 435-4591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
2501 N Patterson St
Valdosta, GA 31602-1735
Mailing address
PO Box 636482
Cincinnati, OH 45263-6482
Phone (800) 377-8721
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Kenton, OH
- NPI 1376513838
-
- Emergency Medicine Physician
- Monroe, MI
- NPI 1407834708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476835200000",
"number": "1447701065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636482",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636482",
"telephone_number": "800-377-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021735",
"telephone_number": "229-333-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NES OF SHELBY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-435-4591"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.