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DR. SHELBY RAY WILKES M.D. NPI 1770506479


NPI Information

NPI: 1770506479
Provider Name: DR. SHELBY RAY WILKES, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
830 W PEACHTREE ST NW
SUITE 100
ATLANTA, GA
ZIP 30308
Phone: (404) 881-6417
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DR. Shelby Ray Wilkes, M.D. is a specialist in Atlanta, GA with 49 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Shelby Ray Wilkes, M.D. NPI is 1770506479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

830 W PEACHTREE ST NW
SUITE 100
ATLANTA, GA
ZIP 30308-129
Phone: (404) 881-6417
Fax: (404) 876-7565

The NPI 1770506479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Diagnostic imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 7/25/2006 and was last updated on 6/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist024884GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B73762MEDICARE UPIN
210039025OTHERGEORGIAAMERIGROUP
3309322OTHERGEORGIAWELLCARE OF GEORGIA
42312437OTHERAETNA HMO
5581515266OTHERTAX IDENTIFICATION NUMBER
6581515266OTHERGEORGIAPEACH STATE HEALTH PLAN
7153697OTHERGEORGIABCBS
8000273006BMEDICAIDGEORGIA
9180009231OTHERGEORGIARAILROAD MEDICARE
104231404OTHERAETNA PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.