Active NPI
Steve M Shirley, MD
- Surgery Physician
- Athens, GA
National Provider Identifier
1700870524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 023503
- Practice address
- 1500 Oglethorpe Ave Ste 2000
Athens, GA 30606-2188 - Phone
- (706) 548-5488
- Fax
- (706) 548-0016
- NPI assigned
- Sep 7, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 023503 | GA | Primary |
Addresses
Primary practice location
1500 Oglethorpe Ave Ste 2000
Athens, GA 30606-2188
Mailing address
PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | athensgeneralandcolorectal@605.direct.myezyaccess.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023503 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1700870524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48089",
"city": "ATHENS",
"state": "GA",
"postal_code": "306048089",
"telephone_number": "706-389-3740",
"fax_number": "706-389-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 OGLETHORPE AVE STE 2000",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062188",
"telephone_number": "706-548-5488",
"fax_number": "706-548-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "STEVE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "023503",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "athensgeneralandcolorectal@605.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "AGCS Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Oglethorpe Ave Ste 2000",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306062188",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.