SHELBY PRIMARY CARE LLC
NPI 1174660112
Family Medicine in Shelby, OH
About Shelby Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY PRIMARY CARE LLC (NPI 1174660112) is a healthcare organization registered as a family medicine in Shelby, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through October 22, 2027 and lists Marion C Demers, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelby Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Shelby Primary Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 36D0992662
Shelby Primary Care · Shelby, OHFrequently 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 Shelby Primary Care LLC's NPI number?
The NPI number for Shelby Primary Care LLC is 1174660112. It was assigned to this organization in the NPPES registry on January 31, 2007.
Where is Shelby Primary Care LLC located?
Shelby Primary Care LLC is located at 24 Morris Rd Ste 1, Shelby, OH 44875. The listed phone number is (419) 347-2828.
What is Shelby Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shelby Primary Care LLC enrolled in Medicare?
Yes. Shelby Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shelby Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Shelby Primary Care LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shelby Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0992662) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Shelby Primary Care LLC accept?
Health plans from CareSource list Shelby Primary Care LLC 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 Shelby Primary Care LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shelby Primary Care Llc · NPI 1174660112
Family Medicine organization in Shelby, Ohio. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1174660112 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Marion Demers, OWNER
## Practice location
- **Address:** 24 MORRIS RD STE 1, Shelby, OH 44875-1170
- **Phone:** (419) 347-2828 · **Fax:** (419) 347-2246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2026
- **Other identifiers:** Medicaid 2350030 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174660112) · Data from the CMS NPPES public registry.