Maggie A Shatilla, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19478 Issued in SC

Practice address

509 North St
Bamberg, SC 29003-1330

Phone

(803) 245-6706

Fax

(803) 245-6731

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bamberg County Memorial Hospital

  • Rural Acute Care Hospital
  • Bamberg, SC
  • NPI 1124051834
  NPD (past)
• Orthopedic Associates of the Lowcountry, LLC

  • Orthopaedic Surgery Physician
  • Hilton Head, SC
  • NPI 1528292638

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891839775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031330",
            "telephone_number": "803-245-6706",
            "fax_number": "803-245-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031330",
            "telephone_number": "803-245-6706",
            "fax_number": "803-245-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATILLA",
        "first_name": "MAGGIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194783",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pruitthealth - Bamberg, LLC
• Gloria Reed, NP
• Abigail Grace Robinson
• Lee Christopher Ross, FNP-C
• SC Department of Juvenile Justice
• Elizabeth Harrison Shuler, APRN
• South Carolina Heart Center PA
• State of South Carolina
• Shannon T Stokes, FNP
• Jill Gunnells Taylor, MCD, CCC-SLP

• All providers in Bamberg, SC
• Internal Medicine Physician in South Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.