SHOLAH P PITTMAN MD NPI 1083614259

NPI Information

  • NPI: 1083614259
  • Provider Name: SHOLAH P PITTMAN, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 MOUNT ZION PKWY
    KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
    JONESBORO, GA
    ZIP 30236
  • Phone: (770) 603-3649

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NPI Details

Sholah P Pittman, MD is an obstetrics gynecology in Jonesboro, GA with 27 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Sholah P Pittman, MD NPI is 1083614259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA
ZIP 30236-500
Phone: (770) 603-3649

The NPI 1083614259 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 7/28/2005 and was last updated on 10/31/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyC4387KENTUCKYNo
2207V00000XObstetrics & Gynecology13211WISCONSINNo
3207V00000XObstetrics & Gynecology053315GEORGIANo
4207V00000XObstetrics & Gynecology04-51275KANSASNo
5207V00000XObstetrics & GynecologyME168489FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1541411884MEDICAIDGEORGIA
258-1397572OTHERTAX ID

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: 11/21/2025

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