Marlene Zetzer Shivers, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33236 Issued in GA

Practice address

2415 Parkwood Dr
Brunswick, GA 31520-4722

Phone

(912) 466-2495

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marlene Judith Zetzer Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Care Systems, Inc.Group PAC ID 5890783179, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marlene.shivers@hca5.eclinicaldirectplus.com

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.

• Community Health Care Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wrightsville, GA
  • NPI 1932150422
  Medicare reassignment Care Compare group NPD
• Hospital Authority of Jeff Davis County Georgia

  • Critical Access Hospital
  • Hazlehurst, GA
  • NPI 1912902263
  Medicare reassignment NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Lafayette, GA
  • NPI 1790782431
  Medicare reassignment NPD
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  Medicare reassignment NPD
• Community Health Care Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Sandersville, GA
  • NPI 1184515694
  NPD
• Gateway Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Brunswick, GA
  • NPI 1124254321
  NPD
• Gateway Community Service Board

  • Community/Behavioral Health Agency
  • Brunswick, GA
  • NPI 1558478214
  NPD
• Hospital Authority of Jeff Davis County Georgia

  • Psychiatric Hospital Unit
  • Hazlehurst, GA
  • NPI 1023593498
  NPD
• Hospital Authority of Jeff Davis County Georgia

  • Internal Medicine Physician
  • Hazlehurst, GA
  • NPI 1528874518
  NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Lafayette, GA
  • NPI 1386716124
  NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Ft Oglethorpe, GA
  • NPI 1568599090
  NPD
• Integrated Regional Laboratories Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801915871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N HARRINGTON RD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225341",
            "telephone_number": "912-634-1753",
            "fax_number": "912-634-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "MARLENE",
        "middle_name": "ZETZER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "33236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "ZETZER",
            "middle_name": "JUDITH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jenny Fritcher Sharpe, NP
• Alaina Sharpton
• Stephanie Shaw
• Candace Shepherd
• Harriet Sheppard, MSW
• Shuman Healthcare Brunswick
• Jaqueline Sierra, PA-C
• Alexandria Carrasquillo Simko
• Ashlie Simmons
• Laura Sims

• Psychiatry Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.