Individual provider Active NPI

Shelby Claire Liddell, MD

  • Obstetrics & Gynecology Physician
  • Oxford, MS
National Provider Identifier
1508429176
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33698 Issued in MS
Practice address
2610 S Lamar Blvd
Oxford, MS 38655-5243
Phone
(662) 234-1731
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33698 MS Primary

Addresses

Primary practice location

2610 S Lamar Blvd
Oxford, MS 38655-5243

Mailing address

2610 S Lamar Blvd
Oxford, MS 38655-5243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240812004210 MS Practitioner - Obstetrics/Gynecology 3779814819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians
Southern Women'S Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (864) 908-3530

2610 S Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 234-1731

Hospital & facility affiliations

  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Women'S Health, PLLC Obstetrics & Gynecology CurrentSince Sep 3, 2024 Accepting new patients
Oxford Clinic for Women, PLLC Current Accepting new patients
Southern Women'S Health, PLLC CurrentSince Sep 3, 2024 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Sep 26, 2025 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006

Interoperability endpoints

  • Direct secure messaging: shelby.claire.liddell.1@28954.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1508429176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243",
            "telephone_number": "662-234-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDELL",
        "first_name": "SHELBY CLAIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "33698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.