Shelly McIntyre, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101239278 Issued in VA

Practice address

120 River St Ste B
Hiawassee, GA 30546

Phone

(706) 896-7102

Fax

(706) 896-7141

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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.

• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  NPD
• Chatuge Regional Hospital Inc

  • Internal Medicine Physician
  • Hiawassee, GA
  • NPI 1265811962
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2018.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1982632428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RIVER ST STE B",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463252",
            "telephone_number": "706-896-7102",
            "fax_number": "706-896-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIVER ST STE B",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "30546",
            "telephone_number": "706-896-7102",
            "fax_number": "706-896-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Catawba Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Catawba",
            "state": "VA",
            "postal_code": "240702115",
            "country_code": "US",
            "telephone_number": "540-375-4268",
            "fax_number": "540-375-4394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Catawba Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Catawba",
            "state": "VA",
            "postal_code": "240702115",
            "country_code": "US",
            "telephone_number": "540-375-4268",
            "fax_number": "540-375-4394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "SHELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101239278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982632428",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahan Family Chiropractic LLC
• Devan Mahan, DC
• Mark W. Wightman
• Brittany Lauren Martin
• Danielle Mason, RN
• Tammy Renee McKenzie, OTR/L
• Jesse D Miller, PT, MS, ECS
• Terry Walter Mohr, OD
• Dale Edward Nelson, RPH
• William Lanier Nicholson, MD

• All providers in Hiawassee, GA
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.