Active NPI
Gregory William Shields, MD
- Pulmonary Disease Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 00014931
- Practice address
- 1108 Ross Clark Cir
Dothan, AL 36301-3022 - Phone
- (334) 793-8087
- Fax
- (334) 793-8191
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 00014931 | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir
Dothan, AL 36301-3022
Mailing address
PO Box 1928
Dothan, AL 36302-1928
Phone (334) 793-8087
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000091248 | Medicaid | AL | |
| 051007047 | Other | AL | BCBS AL |
| 061675300 | Medicaid | FL | |
| 537850840B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Vanderbilt University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 N 20TH St
Suite 6
Opelika, AL 36801-5454
Phone (334) 749-3385
Hospital & facility affiliations
- The East Alabama Healthcare Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00014931 | AL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Internal Medicine Associates P.C. | Current | Accepting new patients | |
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Internal Medicine Lab. | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Houston County Healthcare Authority | Pulmonary Disease | Current | Accepting new patients |
| Houston County Healthcare Authority | Pulmonary Disease | Current | Accepting new patients |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| The East Alabama Health Care Authority | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1118 Ross Clark Cir
Ste 400
Dothan, AL 36301
Phone (205) 792-8400
121 N 20th St
Ste 6
Opelika, AL 36801
Phone (334) 749-3385
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Opelika, AL
- NPI 1225108715
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Emergency Medicine Physician
- Decatur, AL
- NPI 1669618310
-
- Clinical Medical Laboratory
- Dothan, AL
- NPI 1114161601
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
Pulmonary Disease
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1659566651
Pulmonary Disease
-
- Clinical Medical Laboratory
- Opelika, AL
- NPI 1861558041
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Hospitalist Physician
- Enterprise, AL
- NPI 1952845711
-
- Hospitalist Physician
- Dothan, AL
- NPI 1992178628
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1699733683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1928",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363021928",
"telephone_number": "334-793-8087",
"fax_number": "334-793-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-793-8087",
"fax_number": "334-793-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "GREGORY",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": "00014931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000091248",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "051007047",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061675300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "537850840B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.