Individual provider Active NPI

Shelia Dillard, MD

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1497808000
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21294 Issued in AL
Practice address
641 S Lawrence St
Montgomery, AL 36104-5809
Phone
(800) 997-6196
Fax
(833) 523-9924
NPI assigned
Jan 18, 2007
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17501 NV
Family Medicine Physician 207Q00000X 036.144854 IL
Family Medicine Physician 207Q00000X R7982 TX
Family Medicine Physician 207Q00000X CDR.00000037 CO
Family Medicine Physician 207Q00000X MED-PHYS-LIC-60287 MT
Family Medicine Physician 207Q00000X 55309 AZ
Family Medicine Physician 207Q00000X 63182 MN
Family Medicine Physician 207Q00000X 56006 TN
Family Medicine Physician 207Q00000X 16435 MS
Family Medicine Physician 207Q00000X 04-40312 KS
Family Medicine Physician 207Q00000X 15-320 WI
Family Medicine Physician 207Q00000X 27807 WV
Family Medicine Physician 207Q00000X MD-44552 IA
Family Medicine Physician 207Q00000X 151474 CA
Family Medicine Physician 207Q00000X 21294 AL Primary

Addresses

Primary practice location

641 S Lawrence St
Montgomery, AL 36104-5809

Mailing address

1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20071026000265 AL Practitioner - Family Practice 1153418900 Reassigns benefits to 4 organizations
I20180730000937 TN Practitioner - Family Practice 1153418900
I20231110000120 TX Practitioner - Family Practice 1153418900 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21294ALMDFamily Medicine Physician
55309AZMDFamily Medicine Physician
151474CAMDFamily Medicine Physician
CDR.00000037COMDFamily Medicine Physician
MD-44552IAMDFamily Medicine Physician
036.144854ILMDFamily Medicine Physician
04-40312KSMDFamily Medicine Physician
63182MNMDFamily Medicine Physician
16435MSMDFamily Medicine Physician
MED-PHYS-LIC-60287MTMDFamily Medicine Physician
17501NVMDFamily Medicine Physician
56006TNMDFamily Medicine Physician
15-320WIMDFamily Medicine Physician
27807WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Urgent Care LLC CurrentSince Apr 19, 2015 Accepting new patients
Immediate Care Center of the South, LLC Family Medicine CurrentSince Oct 25, 2013 Accepting new patients
Immediate Care Foley LLC Family Medicine CurrentSince Oct 23, 2013 Accepting new patients
Compass Providence Urgent Care LLLP CurrentSince May 1, 2015 Accepting new patients
Immediate Care Foley Past Accepting new patients
Foley Clinic Corp Family Medicine Past Accepting new patients
Memphis Urgent Care #2 LLC PastSince Mar 4, 2021 Accepting new patients

Locations

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

4270 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 300-2770

6901 Airport Blvd
Mobile, AL 36608
Phone (251) 633-2273

9985 Airport Blvd
Mobile, AL 36608
Phone (251) 633-2273

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1497808000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALIFORNIA ST STE 2300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115424",
            "telephone_number": "800-997-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S LAWRENCE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361045809",
            "telephone_number": "800-997-6196",
            "fax_number": "833-523-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "SHELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17501",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.144854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7982",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.00000037",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-60287",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "55309",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "63182",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "56006",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16435",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-40312",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "15-320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "27807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-44552",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "151474",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.