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ORR SHAULY
NPI 1144800749
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 09, 2021PECOS Enrolled
3200 DOWNWOOD CIR NW STE 640-4, ATLANTA, GA 30327(404) 778-7290 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2024, Apr 9, 2021 (2 updates tracked since 2021).

About Orr Shauly NPPES

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

ORR SHAULY (NPI 1144800749) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144800749
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameORR SHAULY
Location Address3200 DOWNWOOD CIR NW STE 640-4Atlanta, GA 30327-1610
Mailing Address3200 Downwood Cir Nw Ste 640-4Atlanta, GA 30327-1610
Phone(404) 778-7290
Sole ProprietorNo
Enumeration DateApril 9, 2021
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1144800749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License 99971 (GA)
3200 DOWNWOOD CIR NW STE 640-4, Atlanta, GA 30327
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orr Shauly 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 Orr Shauly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Coverage, LLC
163 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

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

Other Providers at the Same Location NPPES 4

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

MR. ALEXANDER LUCAH MOSTOVYCH MD
Plastic Surgery
3200 DOWNWOOD CIR NW STE 640-4
ATLANTA, GA 30327
Fulton County (904) 945-3283
DR. JONATHAN RICHARD MD
Student in an Organized Health Care Education/Training Program
3200 DOWNWOOD CIR NW STE 640-4
ATLANTA, GA 30327
Fulton County (404) 778-7290
GABRIELLA ELENA GLASSMAN MD
Student in an Organized Health Care Education/Training Program
3200 DOWNWOOD CIR NW STE 640-4
ATLANTA, GA 30327
Fulton County (404) 778-7290
DR. FRANKLIN ANTONIO VALDERA MD
Surgery
3200 DOWNWOOD CIR NW STE 640-4
ATLANTA, GA 30327
Fulton County (404) 951-5032

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 Orr Shauly's NPI number?

The NPI number for Orr Shauly is 1144800749. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Orr Shauly located?

Orr Shauly practices at 3200 Downwood Cir NW Ste 640-4, Atlanta, GA 30327. The listed phone number is (404) 778-7290.

What is Orr Shauly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Orr Shauly enrolled in Medicare?

Yes. Orr Shauly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Orr Shauly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orr Shauly reassigns Medicare benefits to Emergency Coverage, LLC (Newport, TN). 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 Orr Shauly'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 Orr Shauly was last updated on July 12, 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.