Individual provider Active NPI

Sheena Dover, MD

  • Family Medicine Physician
  • Coldwater, MI
National Provider Identifier
1467715169
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036136764 Issued in IL
Practice address
375 N Willowbrook Rd
Coldwater, MI 49036-8847
Phone
(517) 924-1605
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036136764 IL Primary
Obstetrics Physician 207VX0000X 036136764 IL

Addresses

Primary practice location

375 N Willowbrook Rd
Coldwater, MI 49036-8847

Mailing address

375 N Willowbrook Rd
Coldwater, MI 49036-8847
Phone (517) 924-1605

Other names 1

  • Sheena Gibson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180913003232 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1052631512 Reassigns benefits to 2 organizations
I20250915003628 MI Practitioner - Family Practice 1052631512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

375 N Willowbrook Rd
Oaklawn Medical Group
Coldwater, MI 49036-8847
Phone (517) 924-1605

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036136764ILMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Pinelake Physician Practice LLC CurrentSince Aug 15, 2022 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Aug 15, 2022 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Sep 8, 2025 Accepting new patients
Medicos General PLLC Family Medicine CurrentSince Aug 11, 2018 Accepting new patients
The Camellia Foundation Family Medicine CurrentSince Aug 11, 2018 Accepting new patients
Pinelake Physician Practice, LLC Family Medicine Current Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients
Pinelake Regional Hospital LLC Past Accepting new patients
Ella E. M. Brown Charitable Circle Past Accepting new patients

Locations

1111 Medical Center Cir
Mayfield, KY 42066
Phone (270) 247-8100

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

375 N Willowbrook Rd
Coldwater, MI 49036
Phone (517) 924-1605

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3030 Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 266-8760

Interoperability endpoints

  • Direct secure messaging: sheena.dover.1@9698.direct.athenahealth.com

Organizations & group practices 10

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1467715169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368847",
            "telephone_number": "517-924-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368847",
            "telephone_number": "517-924-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "SHEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136764",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036136764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEENA",
            "last_name": "GIBSON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.