Active NPI
Neal Donald Shirey, M.D.
- Vascular & Interventional Radiology Physician
- Griffin, GA
National Provider Identifier
1992764690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 047842
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148646 | Medicaid | AL | |
| 402295615P | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 109 |
| Leg revascularization (restoring blood flow) | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047846 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Vascular & Interventional, LLC | Vascular & Interventional Radiology | Current | 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.
-
- Vascular & Interventional Radiology Physician
- Griffin, GA
- NPI 1962949123
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1437144508
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.