Shield Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHIELD MEDICAL LLC

Practice address

1230 Slaughter Rd Ste B
Madison, AL 35758-5901

Phone

(256) 722-0555

Fax

(256) 830-5135

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Chad J Gilliam, PA-C

Title

Owner

Phone

(256) 722-0555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Beck, CFNP

  • Family Nurse Practitioner
  • Madison, AL
  • NPI 1205254455
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1508270349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 LORNA SQ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165480",
            "telephone_number": "877-225-3542",
            "fax_number": "877-638-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SLAUGHTER RD STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585901",
            "telephone_number": "256-722-0555",
            "fax_number": "256-830-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-722-0555",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheela Parrish, M.D., P.C.
• Shell Speech Services, LLC
• Casey Engebretsen Shell, M.S., CCC-SLP
• Linda D Shephard, LPC
• Leslie Morgan S Sherrill Mayfield
• Matthew S Shipp, DBH, LPC
• Sharon C. Shockley, LPTA
• Shivanshu Shrivastava, MD
• Katy E Shrode, CRNP
• Nicholas Simmons, PHARM.D.

• Family Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.