Individual provider Active NPI

Shelby Pauline McDonald, DNP, FNP-C

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1477034981
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24606 Issued in TN
Practice address
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Phone
(901) 390-2930
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902923 MS
Registered Nurse 163W00000X 188710 TN
Family Nurse Practitioner 363LF0000X 005925 AR
Family Nurse Practitioner 363LF0000X 24606 TN Primary

Addresses

Primary practice location

1385 W Brierbrook Rd
Germantown, TN 38138-2208

Mailing address

1375 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930

Other practice location 1

312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930

Other practice location 2

306 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930

Other practice location 3

1111 N Washington St
Forrest City, AR 72335-2150
Phone (901) 390-2930

Other practice location 4

1750 Madison Ave Ste 301
Memphis, TN 38104-6428
Phone (901) 390-2930

Other practice location 5

405 River Rd
Greenwood, MS 38930-4212
Phone (901) 390-2930

Other practice location 6

705 N State St
Clarksdale, MS 38614-6519
Phone (901) 390-2930

Other practice location 7

1750 Madison Ave Ste 302
Memphis, TN 38104-6428
Phone (901) 390-2930

Other practice location 8

176 Goodman Rd W
Southaven, MS 38671-9405
Phone (901) 390-2930

Other practice location 9

403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930

Other practice location 10

2704 W Oxford Loop Ste 110
Oxford, MS 38655-5728
Phone (901) 390-2930

Other practice location 11

8081 US Highway 51 N
Millington, TN 38053-1730
Phone (901) 390-2930

Other practice location 12

1355 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930

Other practice location 13

6029 Walnut Grove Rd Ste 401
Memphis, TN 38120-2112
Phone (901) 747-3066

Other practice location 14

1300 Sunset Dr Ste P
Grenada, MS 38901-4084
Phone (901) 390-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181018000439 TN Practitioner - Nurse Practitioner 8729330899 Reassigns benefits to 1 organization
I20210520000242 MS Practitioner - Nurse Practitioner 8729330899 Reassigns benefits to 1 organization
I20210520001725 AR Practitioner - Nurse Practitioner 8729330899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Vein Institute of the South PLLCGroup PAC ID 9739423336, 11 clinicians

Practice addresses (Care Compare)

1375 W Brierbrook Rd
Germantown, TN 38138-2208

1385 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930

176 Goodman Rd W
Southaven, MS 38671-9405
Phone (901) 390-2930

312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930

403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
188710TNMDRegistered Nurse
005925ARMDFamily Nurse Practitioner
902923MSMDFamily Nurse Practitioner
24606TNMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: shelbymcdonald@vvis.allscriptsdirect.net
  • Direct secure messaging: smcdonald33419@mlh.direct-ci.com

Organizations & group practices 1

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 4

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1477034981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 S Rhodes St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723014215",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 S Rhodes St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723014215",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723352150",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Madison Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046428",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 River Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "MS",
            "postal_code": "389304212",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 N State St",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386146519",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Madison Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046428",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 Goodman Rd W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719405",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Getwell Dr",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682213",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2704 W Oxford Loop Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555728",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 US Highway 51 N",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380531730",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 W Brierbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382208",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6029 Walnut Grove Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202112",
            "country_code": "US",
            "telephone_number": "901-747-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sunset Dr Ste P",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389014084",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SHELBY",
        "middle_name": "PAULINE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902923",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "188710",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "005925",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.