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SHAW LIVING PC
NPI 1033778923
Family Medicine in Thomasville, GA

Active since June 13, 2019CLIA 11D2177680 · Waiver
2484 E PINETREE BLVD, THOMASVILLE, GA 31792(229) 226-8800(229) 226-8232 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Jun 13, 2019 (2 updates tracked since 2019).

About Shaw Living Pc NPPES

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

SHAW LIVING PC (NPI 1033778923) is a healthcare organization registered as a family medicine in Thomasville, Georgia and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Lacy Bradford, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033778923
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAW LIVING PC
Location Address2484 E PINETREE BLVDThomasville, GA 31792-4854
Mailing Address2484 E Pinetree BlvdThomasville, GA 31792-4854 · (229) 594-6800 · Fax (833) 464-3427
Phone(229) 226-8800
Fax(229) 226-8232
Organization SubpartNo
Authorized OfficialLacy BradfordOffice Manager · (229) 594-6800
Enumeration DateJune 13, 2019
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1033778923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2484 E PINETREE BLVD, Thomasville, GA 31792
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Other Identifiers 1

Medicaid179012663GGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2177680

Shaw Living, PC · Thomasville, GA
Active · expires Nov 14, 2026
CLIA Number11D2177680
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorBrandi W. Warren
Laboratory Phone(229) 594-6800
Laboratory LocationShaw Living, PC2484 East Pinetree Blvd, Thomasville, GA 31792
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. BRANDI WEAVER WARREN DO
Family Medicine
2484 E PINETREE BLVD
THOMASVILLE, GA 31792
Thomas County (229) 594-6801
LORI ANGELINA SLOCUMB FNP
Nurse Practitioner (Family)
2484 E PINETREE BLVD
THOMASVILLE, GA 31792
Thomas County (229) 594-6800
MARTHA HANNA NP
Nurse Practitioner (Family)
2484 E PINETREE BLVD
THOMASVILLE, GA 31792
Thomas County (229) 226-8800

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 Shaw Living PC's NPI number?

The NPI number for Shaw Living PC is 1033778923. It was assigned to this organization in the NPPES registry on June 13, 2019.

Where is Shaw Living PC located?

Shaw Living PC is located at 2484 E Pinetree Blvd, Thomasville, GA 31792. The listed phone number is (229) 226-8800.

What is Shaw Living PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shaw Living PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2177680) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shaw Living PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Shaw Living PC 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 Shaw Living PC was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.