DR. JOHN JUDSON SHELNUTT M.D. NPI 1407823719

NPI Information

NPI: 1407823719
Provider Name: DR. JOHN JUDSON SHELNUTT, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1500 OGLETHORPE AVE
SUITE 200B
ATHENS, GA
ZIP 30606
Phone: (706) 227-1164
Get Directions

DR. John Judson Shelnutt, M.D. is an obstetrics gynecology in Athens, GA. 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. DR. John Judson Shelnutt, M.D. NPI is 1407823719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 OGLETHORPE AVE
SUITE 200B
ATHENS, GA
ZIP 30606-179
Phone: (706) 227-1164
Fax: (706) 227-1971

The NPI 1407823719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2006 and was last updated on 9/30/2011.

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
1	207V00000X	Obstetrics & Gynecology		046813	GEORGIA	Yes

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
1	G15988	MEDICARE UPIN	GEORGIA
2	000827197A	MEDICAID	GEORGIA
3	16BDSVK	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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