Shirley Eugene, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

72238 Issued in GA

Practice address

1438 W Peachtree St NW
Atlanta, GA 30309-2998

Phone

(470) 283-7349

Fax

(833) 689-2507

NPI assigned

Aug 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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.

• AIDS Healthcare Foundation

  dba Ahf

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1730705047
  Medicare reassignment NPD
• AIDS Healthcare Foundation

  dba AHF Pharmacy

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1891525184
  NPD
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Practice Physician
  • West Burlington, IA
  • NPI 1164433884
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1891951349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092998",
            "telephone_number": "470-283-7349",
            "fax_number": "833-689-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUGENE",
        "first_name": "SHIRLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4230",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "72238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891951349",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK  BLUE CROSS BLUES SHIELD",
            "identifier": "1891951349",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison R Eubanks
• Meredith Eubanks, LCSW
• Taj Eubanks, M.D.
• Caleb Mark Eudy, DC
• Eugene B. Gabianelli, MD & Assoc. LLC (GA Eye Partners)
• Jose D Eugenio-Colon, M.D.
• Eunicon Homecare Services
• Nicolanne Smith Eustace, LPC
• Ureka Burnett Evan
• Alexandra Marie Evancho, DPT

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.