Greg R. Shiver, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003049 Issued in GA

Practice address

US Hwy 48 S
Camilla, GA 31730

Phone

(229) 883-4297

Fax

(229) 336-8200

NPI assigned

Feb 7, 2006

Sex

Male

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 MT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bridger Orthopedics and Sports Medicine, PC

  dba Bridger Orthopedic and Sports Medicine

  • Orthopaedic Surgery Physician
  • Bozeman, MT
  • NPI 1750310926
  Medicare reassignment
• Phoebe Gastroenterology Associates

  • Clinic/Center
  • Albany, GA
  • NPI 1659627131
  NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  NPD
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Specialty Pharmacy

  • Community/Retail Pharmacy
  • Albany, GA
  • NPI 1891315420
  NPD
• Phoebe Putney Memorial Hospital, Inc.

  dba Phoebe Family Medical Center - Pelham

  • Rural Health Clinic/Center
  • Pelham, GA
  • NPI 1821239765
  NPD

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1487627956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2548",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317022548",
            "telephone_number": "229-312-5800",
            "fax_number": "229-312-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 48 S",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "31730",
            "telephone_number": "229-883-4297",
            "fax_number": "229-336-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVER",
        "first_name": "GREG",
        "middle_name": "R.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Rubendall Jr., M.D.
• RX Corner Enterprises LLC (Live Oak Pharmacy)
• Annie Salami
• Laura Santos, MS, CCC-SLP
• Cathy Scott
• Marilyn Rayburn Shiver, P.T., M.S.
• Lajuana Shorter
• Alexandria Lashae Simmons, CPT
• Tonya Slaughter
• Jason Henry Smith, M.D.

• Physician Assistant in Camilla, GA
• Providers in Camilla, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.