SHELBY MEDICAL ASSOCIATES, PA (NPI# 1104819754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104819754 |
| Entity Type | Organization |
| Organization Name | SHELBY MEDICAL ASSOCIATES, PA |
| Practice Address |
711 N Dekalb St Shelby NC 28150-3911 |
| Practice Telephone | 7044821482 |
| Practice Fax Number | 7044806012 |
| Mailing Telephone | 7044821482 |
| Mailing Fax Number | 7044806012 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | PAUL BRENT FERRELL (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 7044821482 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902660 | 05 |
| Street Address |
711 N DEKALB ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245869155 | Jessica Bivins Smith | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2020-04-02 |
| 1194369678 | Crystal C Sipes | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2019-10-29 |
| 1205480670 | Alesha Jolene Newman | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2019-07-24 |
| 1578004933 | Leah Beth Stilwell | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2017-03-17 |
| 1093257966 | Kristin Hamrick | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2016-11-09 |
| 1164870507 | Christa Lauren Earls | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2016-05-26 |
| 1851778385 | Shelby Medical Associates Pa | Preferred Provider Organization | 711 N Dekalb St, Shelby, NC 28150-3911 | 2015-05-05 |
| 1962757195 | Amber Graham Hollifield | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2012-07-13 |
| 1578842332 | Collette R Fox | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2011-08-11 |
| 1811127707 | Theresa A Isaacs | Nurse Practitioner | 711 N Dekalb St, Shelby, NC 28150-3911 | 2009-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043476922 | Harishchandra Mahaseth | Internal Medicine | 1138 Kingston Grove Drive, Cary, NC 27519 | 2008-07-31 |
| 1386658128 | Awawu Ekinadoese Igbinadolor | Internal Medicine | 701 E Roosevelt Blvd Ste 800a, Monroe, NC 28112-5187 | 2006-07-28 |
| 1992746143 | David A Goff | Internal Medicine | 600 Moye Blvd. 3e-139 Brody Medical Bld., Brody School of Medicine, Ecu, Greenville, NC 27834 | 2006-06-09 |
| 1205896768 | Kumar Internal Medicine Assoc. P.a. | Internal Medicine | 108 N Englewood Dr, Rocky Mount, NC 27804-2416 | 2006-03-27 |
| 1588644157 | Gilbert Alligood | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2006-01-19 |
| 1467081182 | Caleigh Kendall Cole | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-04 |
| 1871972877 | Manuel Eulysses Izquierdo | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-05-22 |
| 1992085989 | Catawba Valley Medical Center | Internal Medicine | 105 S Main Ave, Suite B, Newton, NC 28658-3360 | 2011-08-22 |
| 1851683395 | Anwaar Ahmed Khan | Internal Medicine | 2920 Highwoods Blvd, Raleigh, NC 27604-0010 | 2011-05-03 |
| 1033237110 | Gabriel A Kyerematen | Internal Medicine | 1300 Western Blvd, Raleigh, NC 27606-2148 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
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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.