Maximilian Shahryar Shokat, D.O.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

60192 Issued in GA

Practice address

615 S Hansell St
Thomasville, GA 31792-5556

Phone

(229) 226-2234

Fax

(229) 226-2237

NPI assigned

Jan 31, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Interventional Pain ManagementAlso: Addiction Medicine, Osteopathic Manipulative Medicine, Pain Management, Physical Medicine and Rehabilitation

Education

Rowan University School of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Interventional Pain Center LLCGroup PAC ID 9436460318, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.83 of 100Reported as individual

Quality

93.83

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maximilian.shokat.1@15318.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15318/brand/1/csg/1/fhir/r4

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 Interventional Pain Center LLC

  • Interventional Pain Medicine Physician
  • Thomasville, GA
  • NPI 1306225479

  FL

  Medicare reassignment Care Compare group NPD Authorized official
• Southern Interventional Pain Center LLC

  • Interventional Pain Medicine Physician
  • Tallahassee, FL
  • NPI 1407315948
  NPD Authorized official
• Southern Interventional Pain Center LLC

  • Interventional Pain Medicine Physician
  • Lake City, FL
  • NPI 1063971596
  NPD (past) Authorized official
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1659559789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925556",
            "telephone_number": "229-226-2234",
            "fax_number": "229-226-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925556",
            "telephone_number": "229-226-2234",
            "fax_number": "229-226-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKAT",
        "first_name": "MAXIMILIAN",
        "middle_name": "SHAHRYAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS10271",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "60192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002427200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Baker Sherman
• Sheryl Avon Skipper
• Anna Shiver, NP
• Ashlee Brooke Shiver, PHARMD
• Kristin Shokat, SLP
• Laura Shores, RRT
• Mary Virginia Shoup
• Cassie Ann Silvanima, LMSW
• Josh David Simmons, MD
• Nicole Simmons, NP

• Interventional Pain Medicine Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.