Individual provider Active NPI

Shirley Michelle Shiller, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
National Provider Identifier
1710195235
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
3877 Issued in TN
Practice address
1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone
(615) 562-9200
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 3877 TN Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 104899 MN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N6661 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 53466 MN

Addresses

Primary practice location

1010 Airpark Center Dr
Nashville, TN 37217-5200

Mailing address

1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4447

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 2

3600 Gaston Ave Ste 261
Dallas, TX 75246-1902
Phone (972) 966-7830

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Other names 1

  • Shirley Michelle Shiller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, AL, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20121106000481 TX Practitioner - Pathology 3870788326
I20230104000483 TN Practitioner - Pathology 3870788326 Reassigns benefits to 1 organization
I20230912000830 AL Practitioner - Pathology 3870788326 Reassigns benefits to 1 organization
I20240311000840 GA Practitioner - Pathology 3870788326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

705 Dixie St
Carrollton, GA 30117-3818
Phone (615) 221-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3179ALMDProfessional Counselor
104899MNMDAnatomic Pathology & Clinical Pathology Physician
N6661TXMDAnatomic Pathology & Clinical Pathology Physician
3877TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 23, 2022 Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations (25 of 28)

3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

3600 Gaston Ave
Ste 261
Dallas, TX 75246
Phone (214) 818-9100

3500 Gaston Ave
Dallas, TX 75246

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3600 Gaston Ave
Ste 2
Dallas, TX 75246
Phone (972) 966-7830

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

7600 Better Way
Frisco, TX 75033
Phone (214) 407-5322

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

800 8th Ave
Ste 326
Ft Worth, TX 76104
Phone (682) 225-3075

700 Walter Reed Blvd
Ste 209
Garland, TX 75042
Phone (972) 494-3657

1600 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 424-5350

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

1650 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 481-1588

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

5236 W University Dr
Ste 2800
McKinney, TX 75071
Phone (469) 764-4105

4708 Alliance Blvd
Ste 870
Plano, TX 75093
Phone (469) 361-2511

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 4

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1710195235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-562-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Gaston Ave Ste 261",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752461902",
            "country_code": "US",
            "telephone_number": "972-966-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILLER",
        "first_name": "SHIRLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "3877",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "104899",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N6661",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "53466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "SHILLER",
            "middle_name": "MICHELLE",
            "credential": "MSPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.