Individual provider Active NPI

Arie C Shaw, M.D.

  • Gynecology Physician
  • Memphis, TN
National Provider Identifier
1821355421
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
62766 Issued in TN
Practice address
880 Madison Ave
Memphis, TN 38103-3409
Phone
(901) 515-3500
Fax
(901) 515-3509
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 333667 LA
Gynecology Physician 207VG0400X 62766 TN Primary
Obstetrics & Gynecology Physician 207V00000X 036141252 IL

Addresses

Primary practice location

880 Madison Ave
Memphis, TN 38103-3409

Mailing address

600 S 13TH St
Ste D
Pekin, IL 61554-4936
Phone (309) 353-0825

Other practice location 1

2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arie.shaw.1@1475.direct.athenahelth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180328002860 MS Practitioner - Obstetrics/Gynecology 0042456501 Reassigns benefits to 4 organizations
I20210316001495 TN Practitioner - Obstetrics/Gynecology 0042456501
I20240117003890 LA Practitioner - Obstetrics/Gynecology 0042456501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Rochester School of Medicine and Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7167

Hospital & facility affiliations

  • Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333667LAMDObstetrics & Gynecology Physician
62766TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
New Albany OB/GYN Clinic PC Gynecology CurrentSince Mar 9, 2021 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
DHP of Louisiana PC Obstetrics & Gynecology CurrentSince Nov 18, 2023 Accepting new patients
Medical Foundation, Inc. Obstetrics & Gynecology CurrentSince Dec 30, 2023 Accepting new patients
Medical Foundation, Inc. CurrentSince Dec 30, 2023 Accepting new patients
Vicksburg Clinic LLC CurrentSince Feb 19, 2018 Accepting new patients
Women'S and Children'S Health PC Past Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients
Pomelo PC Obstetrics & Gynecology Past Accepting new patients
Brfhh Monroe LLC Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

1800 12th St
Meridian, MS 39301
Phone (601) 483-0011

117 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0029

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

Interoperability endpoints

  • Direct secure messaging: arie.shaw.1@25307.direct.athenahealth.com

Organizations & group practices 12

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1821355421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "STE D",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-353-0825",
            "fax_number": "309-347-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033409",
            "telephone_number": "901-515-3500",
            "fax_number": "901-515-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Highway 61 N",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391838211",
            "country_code": "US",
            "telephone_number": "601-883-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ARIE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "333667",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "62766",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036141252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arie.shaw.1@1475.direct.athenahelth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2100 Highway 61 N",
            "city": "Vicksburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391838211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.