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AUSTIN JORDAN SHINABERRY PHYSICIAN ASSISTANT
NPI 1053175661
Physician Assistant - Medical in Bartlett, TN

Active since February 13, 2024PECOS EnrolledAccepts Medicare Assignment
6490 MEMPHIS ARLINGTON RD, BARTLETT, TN 38135(901) 762-1531(901) 762-1532 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Sep 3, 2025, Jul 14, 2024 and 1 more (4 updates tracked since 2024).

About Austin Jordan Shinaberry Physician Assistant NPPES

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

AUSTIN JORDAN SHINABERRY PHYSICIAN ASSISTANT (NPI 1053175661) is an individual medical provider in Bartlett, Tennessee, licensed in Tennessee (6705) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2025).

NPPES Registry Identity

NPI1053175661
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameAUSTIN JORDAN SHINABERRYCredential: PHYSICIAN ASSISTANT
Location Address6490 MEMPHIS ARLINGTON RDBartlett, TN 38135-7417
Mailing Address6490 Memphis Arlington Rd Ste 106Bartlett, TN 38135-7439 · (901) 762-1531
Phone(901) 762-1531
Fax(901) 762-1532
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2025
Enumeration DateFebruary 13, 2024
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1053175661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · 6705
6490 MEMPHIS ARLINGTON RD, Bartlett, TN 38135
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Austin Jordan Shinaberry Physician Assistant 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.

PECOS PAC ID2264939172
PECOS Enrollment IDI20251008000004
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.

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 Austin Shinaberry's NPI number?

The NPI number for Austin Shinaberry is 1053175661. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Austin Shinaberry located?

Austin Shinaberry practices at 6490 Memphis Arlington Rd, Bartlett, TN 38135. The listed phone number is (901) 762-1531.

What is Austin Shinaberry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Austin Shinaberry enrolled in Medicare?

Yes. Austin Shinaberry 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.

When was this NPI record last updated?

The NPPES record for Austin Shinaberry was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.