SHELBY PRIMARY CARE LLC
NPI 1174660112
Family Medicine in Shelby, OH

Active since January 31, 2007CLIA 36D0992662 · Microscopy
24 MORRIS RD STE 1, SHELBY, OH 44875(419) 347-2828(419) 347-2246 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, Aug 22, 2020 (2 updates tracked since 2020).

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

NPI1174660112
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHELBY PRIMARY CARE LLC
Location Address24 MORRIS RD STE 1Shelby, OH 44875-1170
Mailing Address24 Morris Rd Ste 1Shelby, OH 44875-1170 · (419) 347-2828 · Fax (419) 347-2246
Fax(419) 347-2246
Organization SubpartNo
Authorized OfficialMarion C DemersOwner · (419) 347-2828
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1174660112 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.
24 MORRIS RD STE 1, Shelby, OH 44875

Other Identifiers 1

Medicaid2350030OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 36D0992662

Shelby Primary Care · Shelby, OH
Active · expires Oct 22, 2027
CLIA Number36D0992662
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorMarion C. Demers MD
Laboratory Phone(419) 347-2828
Laboratory LocationShelby Primary Care24 Morris Road Suite 1, Shelby, OH 44875
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
24 MORRIS RD STE 1
SHELBY, OH 44875

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 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.

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 2 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.