Active NPI
Rudy M Shirley
- Otolaryngology Physician
- Dalton, GA
National Provider Identifier
1922059070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 16283
- Practice address
- 1436 Chattanooga Ave
Dalton, GA 30720-2637 - Phone
- (706) 226-2142
- Fax
- (706) 226-1771
- NPI assigned
- May 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 16283 | GA | Primary |
Addresses
Primary practice location
1436 Chattanooga Ave
Dalton, GA 30720-2637
Mailing address
1436 Chattanooga Ave
Dalton, GA 30720-2637
Phone (706) 226-2142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16283 | GA | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922059070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 CHATTANOOGA AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307202637",
"telephone_number": "706-226-2142",
"fax_number": "706-226-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 CHATTANOOGA AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307202637",
"telephone_number": "706-226-2142",
"fax_number": "706-226-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "RUDY",
"middle_name": "M",
"name_prefix": "Prof.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "16283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.