Individual provider Active NPI

Shane Lee Sheffield, MD

  • Obstetrics & Gynecology Physician
  • Cullman, AL
National Provider Identifier
1558476200
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00027523 Issued in AL
Practice address
1800 Al Highway 157 Ste 302
Cullman, AL 35058-1273
Phone
(256) 736-6224
Fax
(256) 736-6226
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 00027523 AL Primary

Addresses

Primary practice location

1800 Al Highway 157 Ste 302
Cullman, AL 35058-1273

Mailing address

503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-0801

Other identifiers 2

IdentifierTypeStateIssuer
1598717381MedicaidAL
117937MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20061004000667 AL Practitioner - Obstetrics/Gynecology 9234135872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians GroupGroup PAC ID 5496669350, 47 clinicians
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

Practice addresses (Care Compare)

245 Governors Dr SE
Huntsville, AL 35801-3784
Phone (256) 265-7673

401 Lowell Dr SE
Suite 1
Huntsville, AL 35801-3738
Phone (256) 265-4462

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027523ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Group CurrentSince Apr 10, 2022 Accepting new patients
HH Physicians Network CurrentSince May 1, 2022 Accepting new patients
Cullman Primary Care, PC Past Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

401 Lowell Dr SE
Ste 1
Huntsville, AL 35801
Phone (256) 265-4462

401 Lowell Dr SE
Ste 5
Huntsville, AL 35801
Phone (256) 265-1775

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

Organizations & group practices 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1558476200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-0801",
            "fax_number": "256-739-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157 STE 302",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581273",
            "telephone_number": "256-736-6224",
            "fax_number": "256-736-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "SHANE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00027523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598717381",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117937",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.