Shelby H Cline, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME95361 Issued in FL

Practice address

101 Whitehall Dr Ste 108
St Augustine, FL 32086-5268

Phone

(904) 686-4003

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Shelby H Cline MD PA D/B/a Sunshine Pediatrics of St Augustine

  • Pediatrics Physician
  • Saint Augustine, FL
  • NPI 1902663735

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1508920901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WHITEHALL DR STE 108",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865268",
            "telephone_number": "904-615-1794",
            "fax_number": "904-341-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WHITEHALL DR STE 108",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865268",
            "telephone_number": "904-686-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "SHELBY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME95361",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME95361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276485700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Clemmons
• Rachel Clifton, RN
• Diana Montagu Cline, D.M.D.
• Joshua Cline, PHARMD
• Shannon Cline, LMHC
• Linda Sue Clonch, M.D.
• Kelly T Clouse, MD
• Michelle Marie Cloutier, LMT
• Jamila Cloward
• Bethany Clubb, PT, DPT

• All providers in St Augustine, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.