Shane Koler, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5829 Issued in TN

Practice address

611 Alcorn Dr
Corinth, MS 38834-9321

Phone

(662) 293-7687

Fax

(662) 293-4347

NPI assigned

Jul 1, 2021

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 TN, AL2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lincoln Medical Center Hospital, Fayetteville, TN, CCN 440102
• Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shanekoler@magnolia.medalliesdirect.net

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.

• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Crestwood HB Medical Services LLC

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1548940497
  Medicare reassignment NPD
• Flowers HB Medical Services LLC

  • Emergency Medicine Physician
  • Dothan, AL
  • NPI 1972283828
  Medicare reassignment
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Lincoln Inc

  dba Lincoln Medical Center

  • Rural Acute Care Hospital
  • Fayetteville, TN
  • NPI 1255066460
  Care Compare affiliation
• Hillside Hospital LLC

  dba Southern Tennessee Regional Health System Pulaski

  • Rural Acute Care Hospital
  • Pulaski, TN
  • NPI 1841388519
  Care Compare affiliation

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1962073825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-7687",
            "fax_number": "662-293-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-7687",
            "fax_number": "662-293-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLER",
        "first_name": "SHANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "5829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuula Maarit Klaavuniemi
• Edward Stafford Knight Jr., DDS
• Kyle Brandon Knight, D.O
• Sarah Knight, PHARM.D.
• Meghan Koger, BSW
• Kossuth Family Health Clinic
• Kroger Limited Partnership I (Kroger Pharmacy)
• Labtech, Inc
• Gary D Lacom, DDS
• Vickie Lambert, NP

• Emergency Medicine Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.