Madison Lynn Sheppard

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133005404 Issued in VA

Practice address

4750 Collegiate Dr
Panama City, FL 32405-1000

Phone

(850) 770-2241

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1780420836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 KINGSTON HWY",
            "city": "KINGSTON",
            "state": "GA",
            "postal_code": "301451905",
            "telephone_number": "470-439-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 COLLEGIATE DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051000",
            "telephone_number": "850-770-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "MADISON",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133005404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly H Shay, MD
• Bryan Shea, RN
• Cheryl Sheffield
• Martin Engwall Sheline, MD
• Derenequa Shelley
• Summer Sheppard
• Sheridan Children'S Healthcare Services, Inc.
• Brandon Bassian Shetuni, M.D.
• Mackenzie Grace Shields
• Shining Start, LLC

• Behavior Analyst in Panama City, FL
• Providers in Panama City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.