Individual provider Active NPI

Christopher L Shelby, M.D.

  • Family Medicine Physician
  • Biloxi, MS
National Provider Identifier
1851333009
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19295 Issued in MS
Practice address
15012 Lemoyne Blvd
Biloxi, MS 39532-5205
Phone
(228) 392-5050
Fax
(228) 392-5342
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19295 MS Primary

Addresses

Primary practice location

15012 Lemoyne Blvd
Biloxi, MS 39532-5205

Mailing address

15012 Lemoyne Blvd
Biloxi, MS 39532-5205
Phone (228) 392-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20061016000554 MS Practitioner - Family Practice 5193706109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Bay Family Medical Clinic, PAGroup PAC ID 4284628868, 7 clinicians

Practice addresses (Care Compare)

15012 Lemoyne Blvd
Biloxi, MS 39532-5205
Phone (228) 392-5050

Hospital & facility affiliations

  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Saads Home Nursing of Ms Home health agency, Diberville, MS, CCN 257128
  • Vitalcaring Group Home health agency, Gulfport, MS, CCN 257090
  • Adoration Home Health Home health agency, Biloxi, MS, CCN 257100
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19295MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Family Medical Clinic, PA Family Medicine CurrentSince Aug 1, 2006 Accepting new patients

Locations

15012 Lemoyne Blvd
Biloxi, MS 39532
Phone (228) 392-5050

Organizations & group practices 1

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 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1851333009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325205",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325205",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.