Shelley Marie Shoemake, DC
Individual provider Active NPI Chiropractor · Seminary, MS
NPI 1487728143 · NPPES record last updated Oct 18, 2010
Key facts
- NPI
- 1487728143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1059 (MS)
- Practice address
- 108 Hwy 535
Seminary, MS 39479 - Phone
- (601) 722-0025
- Fax
- (601) 722-6025
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
108 Hwy 535
Seminary, MS 39479-8809
Phone (601) 722-0025
PO Box
Suite 171
Seminary, MS 39479
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040920000933 | MS | Practitioner - Chiropractic | 0941278758 | Practice locations: Seminary, MS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1059 | MS | Yes |
Addresses
Primary practice location
108 Hwy 535
Seminary, MS 39479
Mailing address
PO Box 171
Seminary, MS 39479
Phone (601) 722-0025
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05106060 | Medicaid | MS |
Other providers in Seminary, MS
- Katelin L Magee
- Billy Mack Pickering
- Simon P Redmon II
- SCPG Mississippi LLC
- Seminary Family Health Center
- Linda Walton Smith
- Southeast Mississippi Rural Health Initiative, Inc.
- Southeast Mississippi Rural Health Initiative, Inc.
- Southeast Mississippi Rural Health Initiative, Inc.
- The Cardiovascular & Pulmonary Optimization Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.