Individual provider Active NPI

Neal Donald Shirey, M.D.

  • Vascular & Interventional Radiology Physician
  • Griffin, GA
National Provider Identifier
1992764690
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
047842 Issued in GA
Practice address
528 S 8TH St
Griffin, GA 30224-4212
Phone
(678) 902-4847
Fax
(770) 415-1447
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 047842 GA Primary

Addresses

Primary practice location

528 S 8TH St
Griffin, GA 30224-4212

Mailing address

528 S 8TH St
Griffin, GA 30224-4212
Phone (678) 902-4847

Other identifiers 2

IdentifierTypeStateIssuer
148646MedicaidAL
402295615PMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060608000010 GA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3476565508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Mercer University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

528 S 8TH St
Griffin, GA 30224-4212
Phone (678) 902-4847

Hospital & facility affiliations

  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal109
Leg revascularization (restoring blood flow)23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047846GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Vascular & Interventional, LLC Vascular & Interventional Radiology CurrentSince Mar 1, 2017 Accepting new patients
Radiology Associates of Columbus PC Past Accepting new patients

Locations

528 S 8th St
Griffin, GA 30224
Phone (678) 902-4847

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1992764690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244212",
            "telephone_number": "678-902-4847",
            "fax_number": "770-415-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244212",
            "telephone_number": "678-902-4847",
            "fax_number": "770-415-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREY",
        "first_name": "NEAL",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "047842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148646",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402295615P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.