JEREMY MARQUEZ SHINHOLSTER
NPI 1013679968
Nurse Practitioner - Family in Macon, GA
About Jeremy Marquez Shinholster NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY MARQUEZ SHINHOLSTER (NPI 1013679968) is an individual family provider in Macon, Georgia, licensed in Georgia (APRN-NP258849) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeremy Marquez Shinholster is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Shinholster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 380 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeremy Shinholster's NPI number?
The NPI number for Jeremy Shinholster is 1013679968. It was assigned to this individual provider in the NPPES registry on October 7, 2021.
Where is Jeremy Shinholster located?
Jeremy Shinholster practices at 124 3rd St, Macon, GA 31201. The listed phone number is (478) 751-2900.
What is Jeremy Shinholster's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeremy Shinholster enrolled in Medicare?
Yes. Jeremy Shinholster is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeremy Shinholster's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Shinholster reassigns Medicare benefits to Wellstreet Of Georgia PC (Newnan, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Shinholster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeremy Shinholster was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeremy Marquez Shinholster · NPI 1013679968
Family physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since October 7, 2021.
## Identity
- **NPI:** 1013679968 (Entity type: Individual)
- **Enumerated:** October 7, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP258849 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 124 3RD ST, Macon, GA 31201-3404
- **Phone:** (478) 751-2900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstreet Of Georgia PC (NPI 1235411547, Newnan, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013679968) · Data from the CMS NPPES public registry.