Active NPI
Donna M Schippers, D.O.
- Family Medicine Physician
- Perry, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0006255
- Practice address
- 616 S Jefferson St
Perry, FL 32347-4115 - Phone
- (850) 584-5876
- Fax
- (850) 584-4939
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0006255 | FL | Primary |
Addresses
Primary practice location
616 S Jefferson St
Perry, FL 32347-4115
Mailing address
40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BL CROSS BL SHIELD | Other | FL | PROVIDER NUMBER |
| 373646600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10820 Marvin Jones Blvd
Live Oak, FL 32060-3714
Phone (386) 658-5450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0006255 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health & Developmental Disabilities, Ga | Current | Accepting new patients | |
| Acv Community Services LLC | Current | Accepting new patients | |
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| Pine Point Health Station | Current | Accepting new patients | |
| Shands at Lake Shore Inc | Past | Accepting new patients |
Locations
3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030
400 S Pinetree Blvd
Thomasville, GA 31792
Phone (229) 227-2990
40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300
40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300
Interoperability endpoints
- donna.schippers.1@32057.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Live Oak, FL
- NPI 1174630693
-
dba Central State Hospital
- Psychiatric Hospital
- Milledgeville, GA
- NPI 1902030307
-
dba Maniilaq Health Center
- Rural Acute Care Hospital
- Kotzebue, AK
- NPI 1861698805
TX
-
dba Southwest Community Clinic
- Neurology Physician
- Thomasville, GA
- NPI 1174942684
-
dba White Earth Health Center
- Federal Public Health Clinic/Center
- Ponsford, MN
- NPI 1679587331
-
dba Lake Shore Orthopedic Specialists
- Clinic/Center
- Lake City, FL
- NPI 1497854186
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Effingham Health System
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1922043215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "565699612",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 S JEFFERSON ST",
"city": "PERRY",
"state": "FL",
"postal_code": "323474115",
"telephone_number": "850-584-5876",
"fax_number": "850-584-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIPPERS",
"first_name": "DONNA",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0006255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "BL CROSS BL SHIELD",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373646600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.