Kimberly Renee Shelton, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9501417 Issued in NC

Practice address

1591 Yanceyville St
Suite 200 a
Greensboro, NC 27405-6941

Phone

(336) 663-8420

Fax

(336) 663-8421

NPI assigned

Jul 28, 2005

Last updated

Nov 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Internal Medicine

Education

University of North Carolina at Chapel Hill School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.shelton.1@13692.direct.athenahealth.com

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.

• Tima Wellness PA

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1609260942
  Medicare reassignment NPD
• County of Guilford

  dba Guilford County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Greensboro, NC
  • NPI 1245272657
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Moses H. Cone Memorial Hospital Operating Corporation

  • General Acute Care Hospital
  • Greensboro, NC
  • NPI 1477591055
  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1649270984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 YANCEYVILLE ST",
            "address_2": "SUITE 200 A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056941",
            "telephone_number": "336-907-3006",
            "fax_number": "336-663-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 YANCEYVILLE ST",
            "address_2": "SUITE 200 A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056941",
            "telephone_number": "336-663-8420",
            "fax_number": "336-663-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9501417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975633",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy E. Shelnutt, L.P.T.
• Lisa Luanne Shelor-Flores, MSW ACSW LCSW
• Paul David Shelor Sr., D.D.S.
• Christine Shelton-Kerr, LCSW
• Brendan Jordan Shelton
• Patricia Huff Shelton, NNP
• Terri Lizabeth Shelton, PH.D.
• Dana Shemer, MSW
• Shenan Bradshaw DDS MD PA (Piedmont Oral and Maxillofacial Surgery)
• Shenan Bradshaw DDS MD PA (Greensboro Oral, Implant & Implant Facial Cosmetic Surgery Center)

• Internal Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.