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BEVERLY SHAW FNP-C
NPI 1023548591
Nurse Practitioner - Family in Jackson, GA

Active since June 15, 2017PECOS Enrolled
1502 W 3RD ST, JACKSON, GA 30233(770) 914-1808 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Beverly Shaw Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY SHAW FNP-C (NPI 1023548591) is an individual family provider in Jackson, Georgia, licensed in Georgia (RN207252) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023548591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEVERLY SHAWCredential: FNP-C
Location Address1502 W 3RD STJackson, GA 30233-1979
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116 · Fax (770) 955-4278
Phone(770) 914-1808
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1023548591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN207252
1502 W 3RD ST, Jackson, GA 30233
Open in Google Maps ↗

Other Names 1

Former Name (1)Beverly Jackson Fnp-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Shaw Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Primary Care, LLC
32 mi
Internal Medicine
197 BASS RD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1225551328 (478) 365-2164

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANGELA MICHELLE CAIN FNP-C
Nurse Practitioner (Family)
1502 W 3RD ST
JACKSON, GA 30233
Butts County (770) 914-0116
JENNIFER SMITH THOMPSON FNP
Nurse Practitioner
1502 W 3RD ST
JACKSON, GA 30233
Butts County (678) 774-0430
MARIE L WHITE PA-C
Physician Assistant
1502 W 3RD ST
JACKSON, GA 30233
Butts County (678) 774-0430
KAYLA MERRITT FNP-C
Nurse Practitioner (Family)
1502 W 3RD ST
JACKSON, GA 30233
Butts County (678) 774-0430
NICOLE PRITCHETT JIMERSON DO
Family Medicine
1502 W 3RD ST
JACKSON, GA 30233
Butts County (678) 774-0430
DR. LATORA WILLIAMS MD
Family Medicine
1502 W 3RD ST
JACKSON, GA 30233
Butts County (770) 914-0116

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 Beverly Shaw's NPI number?

The NPI number for Beverly Shaw is 1023548591. It was assigned to this individual provider in the NPPES registry on June 15, 2017. The provider is also known as Beverly Jackson Fnp-C.

Where is Beverly Shaw located?

Beverly Shaw practices at 1502 W 3rd St, Jackson, GA 30233. The listed phone number is (770) 914-1808.

What is Beverly Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beverly Shaw enrolled in Medicare?

Yes. Beverly Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Shaw reassigns Medicare benefits to Southern Primary Care, LLC (Macon, 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 Beverly Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Shaw accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Beverly Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverly Shaw was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.