Shantele Hinton Bolton, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

T-2676 Issued in MS

Practice address

6524 U S Highway 98
Hattiesburg, MS 39402-8569

Phone

(601) 268-9393

Fax

(601) 268-9559

NPI assigned

Jun 30, 2013

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

Enrolled in MS

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

Specialty

Obstetrics/Gynecology

Education

University of Mississippi School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Pavilion of South Mississippi PLLCGroup PAC ID 5799769535, 8 clinicians

Southern Women's Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22789/brand/1/csg/1/fhir/r4
• Direct secure messaging: shantele.bolton.1@28954.direct.athenahealth.com
• Direct secure messaging: sbolton@wpsm.gwaydirect.com

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.

• Southern Women's Health, PLLC

  • Obstetrics Physician
  • Jackson, MS
  • NPI 1174744379
  Medicare reassignment Care Compare group NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Obstetrics & Gynecology Physician
  • Hattiesburg, MS
  • NPI 1396795571
  Medicare reassignment Care Compare group NPD
• Oxford Clinic for Women, PLLC

  • Specialist
  • Oxford, MS
  • NPI 1578105540
  NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Obstetrics & Gynecology Physician
  • Ellisville, MS
  • NPI 1407235971
  NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Rural Health Clinic/Center
  • Hattiesburg, MS
  • NPI 1548640642
  NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Obstetrics & Gynecology Physician
  • Ellisville, MS
  • NPI 1831275189
  NPD
• Womens Pavilion of South Mississippi, PLLC

  • Obstetrics & Gynecology Physician
  • Columbia, MS
  • NPI 1306922653
  NPD
• Wesley Health System LLC

  dba Merit Health Wesley

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1841241841
  NPD (past)

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

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629418074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028569",
            "telephone_number": "601-268-9393",
            "fax_number": "601-268-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028569",
            "telephone_number": "601-268-9393",
            "fax_number": "601-268-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "SHANTELE",
        "middle_name": "HINTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "24981",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "T-2676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empress Bolton
• Kimneesha Bolton
• Lacetria Bolton
• Mary Darlene Bolton, FNP-BC
• Matthew Dane Bolton, CNP
• David W Bomboy, MD
• Christopher Lamar Bond, DNP, CRNA
• Garrett Cole Bond, AG-ACNP
• Molly Bonds
• Camille Elizabeth Bondurant, MS, LPC-S

• Obstetrics & Gynecology Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.