Shelley Hershock Bianco, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

068114 Issued in GA

Practice address

12315 Crabapple Rd
Suite 108
Alpharetta, GA 30004-6329

Phone

(678) 254-2333

Fax

(678) 254-2332

NPI assigned

Jul 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelley.bianco@1434047938564.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Golden Rule Hospice, LLC

  • Community Based Hospice Care Agency
  • Alpharetta, GA
  • NPI 1689047490

  Contracted Managing Employee

  CMS ownership

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.

• Golden Rule Hospice, LLC

  • Community Based Hospice Care Agency
  • Alpharetta, GA
  • NPI 1689047490
  NPD
• North Fulton Hospitalist Group, LLC

  • Internal Medicine Physician
  • Roswell, GA
  • NPI 1679833420
  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1528299146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 CRABAPPLE RD",
            "address_2": "SUITE 108",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046329",
            "telephone_number": "678-254-2333",
            "fax_number": "678-254-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 CRABAPPLE RD",
            "address_2": "SUITE 108",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046329",
            "telephone_number": "678-254-2333",
            "fax_number": "678-254-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "SHELLEY",
        "middle_name": "HERSHOCK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "068114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Bettis
• Nepa Bhadra, O.D.
• Shamir K Bhikha, D.P.M.
• Bianco Internal Medicine LLC
• Michael Thomas Bianco, D.O.
• Maria Frances Bibalou-Ngangha, APC
• Jennifer G Bickerstaff, CSFA
• Briana Leigh Biggerstaff, LMT
• Rachel Biller, MSPT
• Shavon Cherease Billingsley, O.D.

• Internal Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.