Individual provider Active NPI

Shane Mathew Taylor, MD

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1689294407
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
51034 Issued in AL
Practice address
805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone
(205) 939-3699
Fax
(205) 484-2585
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 51034 AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638

Mailing address

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Other practice location 1

1600 Medical Center Dr
Huntington, WV 25701-3656
Phone (304) 691-1262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20250725002892 AL Practitioner - Orthopedic Surgery 2062928955 Reassigns benefits to 1 organization
I20260622002515 NC Practitioner - Orthopedic Surgery 2062928955

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Sports Medicine and Orthopedics LLCGroup PAC ID 0446554562, 48 clinicians

Practice addresses (Care Compare)

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

Interoperability endpoints

  • Direct secure messaging: staylor@andrewssm.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1689294407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051638",
            "telephone_number": "205-939-3699",
            "fax_number": "205-484-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051638",
            "telephone_number": "205-939-3699",
            "fax_number": "205-484-2585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013656",
            "country_code": "US",
            "telephone_number": "304-691-1262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHANE",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "51034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.