NPIMap

Individual provider Active NPI

Courtney D Shelton, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1609874023
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050559 Issued in GA
Practice address
315 Boulevard NE
Suite 310
Atlanta, GA 30312-1200
Phone
(678) 705-2355
NPI assigned
Jul 10, 2005
Reactivated
Mar 21, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 050559 GA
Internal Medicine Physician 207R00000X 050559 GA Primary

Addresses

Primary practice location

315 Boulevard NE
Suite 310
Atlanta, GA 30312-1200

Mailing address

315 Boulevard NE
Suite 310
Atlanta, GA 30312-1200
Phone (678) 705-2355

Other identifiers 1

IdentifierTypeStateIssuer
000930234BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031202000096 GA Practitioner - Internal Medicine 7012812324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1800 Peachtree St NW
Suite 730
Atlanta, GA 30309-2511
Phone (678) 705-2355

335 Upper Riverdale Rd
Suite B10
Jonesboro, GA 30236-1071
Phone (770) 907-5743

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050559GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelton Hospitalists Group, LLC Internal Medicine CurrentSince Apr 29, 2016 Accepting new patients
Shelton Hospitalists Group, LLC Internal Medicine CurrentSince Apr 29, 2016 Accepting new patients
Priceless Primary Health Care of Atlanta Inc Internal Medicine Past Accepting new patients
Total Health Medical Center Corporation Past Accepting new patients
Progressive Pain Centers Past Accepting new patients

Locations

1800 Peachtree St NW
Ste 730
Atlanta, GA 30309
Phone (678) 705-2355

315 Boulevard NE
Ste 310
Atlanta, GA 30312
Phone (678) 371-8222

Interoperability endpoints

  • Direct secure messaging: sheltonhospitalistsgroup.courtneyshelton@138178.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1120953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1609874023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE",
            "address_2": "SUITE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121200",
            "telephone_number": "678-705-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE",
            "address_2": "SUITE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121200",
            "telephone_number": "678-705-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "COURTNEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-10",
        "last_updated": "2016-12-14",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "050559",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000930234B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.