Michael Shane Fitzgibbons, DO

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

112703 Issued in GA

Practice address

306 Liberty View LN
Lynchburg, VA 24502-2291

Phone

(434) 592-6400

NPI assigned

Apr 1, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1467256594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WINDSWEPT CIR",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LIBERTY VIEW LN",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022291",
            "telephone_number": "434-592-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGIBBONS",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "GA",
            "license": "112703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G. Fisher, M.D.
• Robert Fisher
• Ronald James Fisher, M.D.
• Kyle Andrew Fite, BCBA, LBA
• Emily McLaughlin Fitzgerald, LPC
• Isobel Bethany Fitzhugh
• Zachary Flack
• Brandy Kay Fleischer, FNP
• Adrienne Fletcher
• Colleen Mary Fletcher, MOTR/L

• Military Health Care Provider in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Military Health Care Provider in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.