Michele Shumpert, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

003793 Issued in GA

Practice address

1110 Farr Rd
Suite C
Columbus, GA 31907-8628

Phone

(706) 683-0909

Fax

(706) 683-9757

NPI assigned

Jun 30, 2009

Last updated

Mar 14, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Premise Health of Georgia Medical PC

  dba UniteHere Union Health & Wellness Center

  • Multi-Specialty Clinic/Center
  • Columbus, GA
  • NPI 1073090791
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1629206503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318081584",
            "telephone_number": "404-910-3697",
            "fax_number": "404-910-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 FARR RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319078628",
            "telephone_number": "706-683-0909",
            "fax_number": "706-683-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMPERT",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "003793",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "66322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqul Shorter
• Kaizad Shroff, M.D.
• Jamie Kelley Shropshire, NP
• Jagdish Shukla, M.D.
• Katie L Shuler, CD(DONA)
• Akshaya Siddegowda, MD
• Jagdish R Sidhpura, MD
• Hollis C Sigman, MD
• John Frederick Sigman
• Rebecca Sigman

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.