Individual provider Active NPI

Shalini Golla, M.D.

  • Obstetrics & Gynecology Physician
  • Lakeland, FL
National Provider Identifier
1588047484
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME138962 Issued in FL
Practice address
1733 Lakeland Hills Blvd
Lakeland, FL 33805-3016
Phone
(863) 688-1528
Fax
(863) 688-8423
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 ME138962 FL Primary

Addresses

Primary practice location

1733 Lakeland Hills Blvd
Lakeland, FL 33805-3016

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

1219 Hodges Dr
Tallahassee, FL 32308-4611
Phone (850) 877-7241

Other practice location 2

5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Phone (850) 416-2418

Other practice location 3

1401 Centerville Rd Ste 202
Tallahassee, FL 32308-4638
Phone (850) 205-0393

Other identifiers 1

IdentifierTypeStateIssuer
106432800MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200610000512 FL Practitioner - Obstetrics/Gynecology 5092021782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Florida State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

1733 Lakeland Hills Blvd
Lakeland, FL 33805-3016
Phone (863) 688-1528

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jul 6, 2022 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Jul 6, 2022 Accepting new patients

Locations

4690 Exploration Ave
#4692
Lakeland, FL 33812
Phone (863) 688-1528

1733 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-1528

4690 Exploration Ave
Ste 4692
Lakeland, FL 33812
Phone (863) 644-4496

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: shalini.golla@wcfnf.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1588047484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053016",
            "telephone_number": "863-688-1528",
            "fax_number": "863-688-8423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084611",
            "country_code": "US",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5045 Carpenter Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032521",
            "country_code": "US",
            "telephone_number": "850-416-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Centerville Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084638",
            "country_code": "US",
            "telephone_number": "850-205-0393",
            "fax_number": "850-877-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLLA",
        "first_name": "SHALINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME138962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106432800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.