Shelbyville Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD024783 Issued in TN

Legal business name

SHELBYVILLE MEDICAL GROUP, PLLC

Practice address

221 Lane Parkway
Shelbyville, TN 37160

Phone

(931) 685-1145

Fax

(931) 685-8014

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Joseph H. Rupard, M.D.NPI 1861451338

Title

Owner

Phone

(931) 685-1145

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Howard Rupard, M D

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1861451338
  Medicare reassignment NPD Authorized official
• Byron J Bloom, PA-C

  • Medical Physician Assistant
  • Shelbyville, TN
  • NPI 1801074042
  NPD (past)
• Kelsey Colley, PA-C

  • Medical Physician Assistant
  • Mayfield, KY
  • NPI 1457865370
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1699177956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1279",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371622607",
            "telephone_number": "931-685-1145",
            "fax_number": "931-685-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LANE PARKWAY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "37160",
            "telephone_number": "931-685-1145",
            "fax_number": "931-685-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "RUPARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-685-1145",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD024783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0195517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbyville Hospital Company LLC
• Shelbyville Hospital Company LLC
• Shelbyville Hospital Company LLC
• Shelbyville Hospital Company LLC
• Shelbyville Hospital Corporation
• Shelbyville Residential, LLC
• David Mark Shetler
• Monet Shook, DC
• Sightrite Medical TN LLC
• Mitchell Taylor Silvers, DPT

• Family Medicine Physician in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.