DR. DAVID KENNETH SHELLINGTON (NPI# 1063485779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063485779 |
| Entity Type | Individual |
| Full Name | DR. DAVID KENNETH SHELLINGTON |
| Credential | M.D. |
| Practice Address |
3915 Grey Abbey Dr Alpharetta GA 30022-6408 |
| Practice Telephone | 7572708880 |
| Mailing Telephone | 7572708880 |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | C54631 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
74590 | GA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
C54631 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3915 GREY ABBEY DR |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000358 | Spring Heather Ou-tim | Pediatrics | 5461 Meridian Marks Rd Ste 540, Atlanta, GA 30342-3283 | 2018-10-26 |
| 1184980567 | Meral M Patel | Pediatrics | 777 Hemlock St # 130, Macon, GA 31201-2102 | 2012-04-10 |
| 1477796951 | Geoffrey Edward Mickells | Pediatrics | 5901-b Peachtree Dunwoody Rd, Suite B-420, Atlanta, GA 30328-7156 | 2009-04-13 |
| 1306955356 | Renuka Mehta | Pediatrics | Mcg 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1750351326 | Richard J Cartie | Pediatrics | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 | 2006-01-25 |
| 1629064134 | Samuel B. Edelman | Pediatrics | 710 Center Street, Columbus, GA 31901 | 2005-09-21 |
| 1225455793 | Lisa Lima | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1020 | 2014-03-23 |
| 1205270543 | Ashley Dodd Freeman | Pediatrics | 1120 15th St, Augusta, GA 30912-6805 | 2013-04-17 |
| 1265775159 | Neelima Krishnapriya Marupudi | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2013-03-29 |
| 1114215431 | Asaad G Beshish | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-5000 | 2011-07-20 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.