Active NPI
Shavone Bellamy
- Prosthetics Case Management
- Orange Park, FL
National Provider Identifier
1982365979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 108 Kingsley Ave Ste 210
Orange Park, FL 32073-5685 - Phone
- (912) 722-3281
- NPI assigned
- Jan 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | |||
| Prosthetics Case Management | 1744P3200X | GA | Primary |
Addresses
Primary practice location
108 Kingsley Ave Ste 210
Orange Park, FL 32073-5685
Mailing address
2164 US Highway 84
Blackshear, GA 31516-1160
Phone (254) 458-4138
Other practice location 1
1445 Woodmont Ln NW # 1205
Atlanta, GA 30318-2866
Phone (912) 288-5907
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 912-452-1130 |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Monique LLC | Current | Accepting new patients |
Locations
1445 Woodmont Ln NW
Atlanta, GA 30318
Phone (678) 921-9969
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Atlanta, GA
- NPI 1285393439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1982365979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2164 US HIGHWAY 84",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315161160",
"telephone_number": "254-458-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 KINGSLEY AVE STE 210",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735685",
"telephone_number": "912-722-3281"
}
],
"practiceLocations": [
{
"address_1": "1445 Woodmont Ln NW # 1205",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303182866",
"country_code": "US",
"telephone_number": "912-288-5907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLAMY",
"first_name": "SHAVONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "912-452-1130",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "2164 US Highway 84",
"city": "Blackshear",
"state": "GA",
"country_code": "US",
"postal_code": "315161160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.