Ivy Lee Shuman Jr., M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

017110 Issued in GA

Practice address

3694 Bay Hill CT
Martinez, GA 30907-8994

Phone

(706) 868-5232

Fax

(706) 868-7809

NPI assigned

Jul 18, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Emergency MedicineAlso: Internal Medicine

Education

Medical College of Georgia School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pineland Area Community Services Board

  dba Pineland BHDD CSB

  • Community/Behavioral Health Agency
  • Statesboro, GA
  • NPI 1588735252
  NPD
• Evans Emergency Group LLC

  • Emergency Medicine Physician
  • Claxton, GA
  • NPI 1295794220
  NPD (past)
• Liberty Emergency Group LLC

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1073581682
  NPD (past)
• Sterling Emergency Services of the Southeast, Inc

  • Emergency Medicine Physician
  • Salisbury, NC
  • NPI 1770541245
  NPD (past)
• TST Medical, P.a.

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1053384859
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881693380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MONARCH CIR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589197",
            "telephone_number": "912-489-1153",
            "fax_number": "706-868-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 BAY HILL CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078994",
            "telephone_number": "706-868-5232",
            "fax_number": "706-868-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "IVY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "017110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saroj B. Sharma, MD
• Shauna Kenney LLC
• Ayisha Sherman, MS, LPC, NCC
• James Carmichael Sherman, M.D.
• Lopa Sheth, O.D
• Amanda Marie Sigg, RBT
• Destiny Simmons
• Rosina Skaria, MSW
• Ajeea Smalley
• Smith & Bones Physical Therapy LLC

• Emergency Medicine Physician in Martinez, GA
• Providers in Martinez, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.