Provider Type Icon

SHAVONNE BRIDGETTE DOYLE NP NPI 1013596089


NPI Information

NPI: 1013596089
Provider Name: SHAVONNE BRIDGETTE DOYLE, NP
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
2908 S LAMAR BLVD STE 100
OXFORD, MS
ZIP 38655
Phone: (662) 281-0112
Get Directions

Shavonne Bridgette Doyle, NP is a geriatric medicine internal medicine in Oxford, MS with 4 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Shavonne Bridgette Doyle, NP NPI is 1013596089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2908 S LAMAR BLVD STE 100
OXFORD, MS
ZIP 38655-375
Phone: (662) 281-0112

The NPI 1013596089 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 enumeration date for this NPI number is 4/6/2021 and was last updated on 2/3/2022.


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
1207QA0505XFamily MedicineAdult Medicine904555MISSISSIPPINo
2207QA0505XFamily MedicineAdult Medicine904555TENNESSEENo
3207RG0300XInternal MedicineGeriatric Medicine904555TENNESSEENo
4207RG0300XInternal MedicineGeriatric Medicine904555MISSISSIPPIYes

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.