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DR. MIRIAM J. SHATLEY M.D.
NPI 1235154121
Dermatology in Flowood, MS

Active since July 13, 2006PECOS Enrolled
0/100
CMS Quality Rating
108 BELLE MEADE POINTE, FLOWOOD, MS 39232(601) 992-7002 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Miriam J. Shatley M.d. NPPES

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

DR. MIRIAM J. SHATLEY M.D. (NPI 1235154121) is an individual dermatology provider in Flowood, Mississippi, licensed in Mississippi (14462) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1988).

NPPES Registry Identity

NPI1235154121
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. MIRIAM J. SHATLEYCredential: M.D.
Location Address108 BELLE MEADE POINTEFlowood, MS 39232
Mailing Address107 Heron Cove - FoxbayBrandon, MS 39047-8993 · (601) 992-7002
Phone(601) 992-7002
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1988
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1235154121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MS · 14462
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
108 BELLE MEADE POINTE, Flowood, MS 39232
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Other Identifiers 3

Other14462MS · State Medical License ##
Medicare ID-Type UnspecifiedC03374MS · Group Number
Medicare UPINF82172MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miriam J. Shatley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719911056
PECOS Enrollment IDI20050927000266
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 Reassignments

2

Medicare enrollment records show Miriam Shatley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Belle Meade Medical LLC
Same address
Medical Specialty
108 BELLE MEADE POINTE
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1730109240 (601) 992-7002
Madison Medical Dermatology LLC
10.0 mi
Dermatology
1607 DOCTOR'S DRIVE
Madison, MS 39110
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1831506187 (769) 300-2100

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

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
629 services527 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
616 services207 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
400 services338 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
230 services213 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services209 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
209 services196 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

BELLE MEADE MEDICAL LLC
Clinic/Center (Medical Specialty)
108 BELLE MEADE POINTE
FLOWOOD, MS 39232
Rankin County (601) 992-7002

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 Miriam Shatley's NPI number?

The NPI number for Miriam Shatley is 1235154121. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Miriam Shatley located?

Miriam Shatley practices at 108 Belle Meade Pointe, Flowood, MS 39232. The listed phone number is (601) 992-7002.

What is Miriam Shatley's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Miriam Shatley enrolled in Medicare?

Yes. Miriam Shatley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miriam Shatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Shatley reassigns Medicare benefits to 2 organizations: Belle Meade Medical LLC (Flowood, MS) and Madison Medical Dermatology LLC (Madison, MS). Each 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 Miriam Shatley'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 Miriam Shatley was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.