Rebecca Parker Shaver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6157 Issued in GA

Practice address

455 South Main Street
Suite 104a
Hinesville, GA 31313

Phone

(912) 876-5644

Fax

(912) 877-6341

NPI assigned

Jun 30, 2011

Last updated

May 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Authority of Liberty CountyGroup PAC ID 5799772190, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Savannah, GA, CCN 117078
• Liberty Regional Medical Center Hospital, Hinesville, GA, CCN 111335

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Hospital Authority of Liberty County

  dba Liberty Regional Medical Center

  • Critical Access Hospital
  • Hinesville, GA
  • NPI 1326079260
  Medicare reassignment Care Compare group
• Hospital Authority of Liberty County

  dba Liberty Regional Orthopaedics

  • Orthopaedic Surgery Physician
  • Hinesville, GA
  • NPI 1023443801
  NPD
• Hospital Authority of Liberty County

  dba Liberty Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Hinesville, GA
  • NPI 1508356395
  NPD
• Allied Health Systems

  • Internal Medicine Physician
  • Hinesville, GA
  • NPI 1861762007

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Savannah, GA
  • NPI 1942483920
  Care Compare affiliation
• Hospital Authority of Liberty County

  dba Liberty Regional Medical Center

  • Critical Access Hospital
  • Hinesville, GA
  • NPI 1326079260
  Care Compare affiliation

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1720375538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SOUTH MAIN STREET",
            "address_2": "SUITE 104A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-876-5644",
            "fax_number": "912-877-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SOUTH MAIN STREET",
            "address_2": "SUITE 104A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-876-5644",
            "fax_number": "912-877-6341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Coastal Manor Dr SE",
            "address_purpose": "LOCATION",
            "city": "Ludowici",
            "state": "GA",
            "postal_code": "313162949",
            "country_code": "US",
            "telephone_number": "912-369-9313",
            "fax_number": "912-545-0043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "586 Islands Hwy",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "31320",
            "country_code": "US",
            "telephone_number": "912-396-7050",
            "fax_number": "912-884-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "REBECCA",
        "middle_name": "PARKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.

Verify at the official NPI Registry.