Stephen Milan Shirley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

07361 Issued in MS

Practice address

400 Doctors Dr
New Albany, MS 38652-3109

Phone

(662) 534-5036

Fax

(662) 534-9696

NPI assigned

Apr 21, 2006

Last updated

Feb 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Medicare reassignment NPD
• Pontotoc Health Services, Inc.

  dba New Albany Medical Clinic

  • Rural Health Clinic/Center
  • New Albany, MS
  • NPI 1063813335
  NPD
• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH - Swing Bed

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1962512871
  NPD

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1720044456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOCTORS DRIVE",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "38652",
            "telephone_number": "662-534-5036",
            "fax_number": "662-534-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523109",
            "telephone_number": "662-534-5036",
            "fax_number": "662-534-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "STEPHEN",
        "middle_name": "MILAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "07361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018005",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndie C Scott, FNP-C
• Michael Shane Scott, D.O.
• Ronald B Scott, D.O.
• Thomas Andrew Shands, MD
• Shepherd Hospice Care, LLC
• Lauren S Simpson, MD
• Rebecca Thompson Siria, D.M.D
• Smith Speech Services, LLC
• Louisa V Smith, SLP
• Marilyn Smith, NURSE PRACTITIONER

• Family Medicine Physician in New Albany, MS
• Providers in New Albany, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.