NPIMap

Individual provider Active NPI

Jared B Shell, M.D.

  • Emergency Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1841427374
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67163 Issued in GA
Practice address
975 E 3Rd St
Division of Emergency Medicine
Chattanooga, TN 37403-2147
Phone
(423) 778-7628
Fax
(423) 778-7677
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 67163 GA Primary

Addresses

Primary practice location

975 E 3Rd St
Division of Emergency Medicine
Chattanooga, TN 37403-2147

Mailing address

975 E 3Rd St
Division of Emergency Medicine
Chattanooga, TN 37403-2147
Phone (423) 778-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000487 GA Practitioner - Emergency Medicine 5597929364 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Mercer University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Emergency Group LLCGroup PAC ID 2567628993, 26 clinicians
Hospitalist Medicine Physicians of Georgia-TCG PCGroup PAC ID 8921492380, 39 clinicians

Practice addresses (Care Compare)

1960 Ga Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-8400

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67163GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Physician Specialists Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Oct 1, 2024 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jan 6, 2018 Accepting new patients
Peach Emergency Group LLC Emergency Medicine CurrentSince Sep 23, 2023 Accepting new patients
Hospitalist Medicine Physicians of Georgia-TCG, PC Emergency Medicine CurrentSince Jan 4, 2022 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jan 6, 2018 Accepting new patients
Hargrave Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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 3

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1841427374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "address_2": "DIVISION OF EMERGENCY MEDICINE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7628",
            "fax_number": "423-778-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "address_2": "DIVISION OF EMERGENCY MEDICINE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7628",
            "fax_number": "423-778-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "JARED",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.