Shelby R Walters, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

31635 Issued in MS

Practice address

1204 Medical Park Dr
Oxford, MS 38655-5326

Phone

(662) 236-5717

NPI assigned

Jun 12, 2019

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Obstetrics/Gynecology

Education

University of Mississippi School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians

State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100Reported as group

Quality

67.75

Promoting interoperability

100

Improvement activities

40

Cost

71.17

Merit-based Incentive Payment System (MIPS)

Final score

90.6 of 100Reported as group

Quality

92.14

Promoting interoperability

100

Improvement activities

40

Cost

76.54

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4
• Direct secure messaging: shelby.walters.1@16415.direct.athenahealth.com
• Direct secure messaging: shelby.walters.1@20428.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment Care Compare group NPD
• Memphis Obstetrics and Gynecological Association PC

  dba Moga

  • Obstetrics & Gynecology Physician
  • Bartlett, TN
  • NPI 1306884911

  MS

  Medicare reassignment Care Compare group NPD
• Obhg Mississippi, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, MS
  • NPI 1083995674
  Medicare reassignment NPD
• Oxford Obstetrics & Gynecology Associates

  • Medical Specialty Clinic/Center
  • Oxford, MS
  • NPI 1730280066
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  NPD (past)

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

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1447819594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MEDICAL PARK DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555326",
            "telephone_number": "662-236-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SHELBY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "31635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Waller, DO
• Waller's Discount Drugs, Inc.
• Ryan Shelton Wally, O.D.
• Joshua M Walston
• Marc E Walters, PCMHT
• Charles Patrick Ward, P-LPC
• Madison Michelle Ward, PCMHT, MSW
• Sunita Elisha Ward, BSW
• Arkeshia Ware, MS, CMHT
• Justin Keith Ware, ATC

• Obstetrics & Gynecology Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.

Verify at the official NPI Registry.