Active NPI
Shelbra Cullum
- Case Management Agency
- Aiken, SC
National Provider Identifier
1649667478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 1911 Alan Ave
Aiken, SC 29801-9484 - Phone
- (803) 439-3077
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1911 Alan Ave
Aiken, SC 29801-9484
Mailing address
1285 Marks Church Rd Ste a
Augusta, GA 30909-2472
Phone (706) 310-8441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1649667478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 MARKS CHURCH RD STE A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092472",
"telephone_number": "706-310-8441",
"fax_number": "706-230-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 ALAN AVE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298019484",
"telephone_number": "803-439-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLUM",
"first_name": "SHELBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
- Csra Holdings LLC (Trinity Home Services Home Health)
- Csra Renal Services, LLC
- CT Bravo, Inc. (Beltone Hearing Aid Center)
- April Michelle Cullum, MCD-SLP
- Dana Frazier Cullum, LPC
- Cumberland Village at Home
- Cumberland Village-Hills Operator, LLC
- Cheryl E Cummings, LPC, NCC, CCMHC
- David William Cundey, M.D.
- Joseph R Cunningham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.