SHELBY MCNEAL NP
NPI 1265020358
Nurse Practitioner - Family in Valdosta, GA

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
4274 N VALDOSTA RD, VALDOSTA, GA 31602(229) 242-1234 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Jan 5, 2021 (2 updates tracked since 2021).

About Shelby Mcneal Np NPPES

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

SHELBY MCNEAL NP (NPI 1265020358) is an individual family provider in Valdosta, Georgia, licensed in Georgia (RN268275) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265020358
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY MCNEALCredential: NP
Location Address4274 N VALDOSTA RDValdosta, GA 31602-6814
Mailing Address4274 N Valdosta RdValdosta, GA 31602-6814 · (229) 242-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 5, 2021
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1265020358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN268275
4274 N VALDOSTA RD, Valdosta, GA 31602

Other Names 1

Former Name (1)Shelby Ogden

Accepted Insurance

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

Shelby Mcneal Np 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 ID1254745409
PECOS Enrollment IDI20210128002391
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.

Areas of Expertise CMS Part B claims 3

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 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.
181 services155 patients
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.
22 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Sgmc Health Lanier

Critical Access Hospitals · Lakeland, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111326
Location116 West Thigpen AvenueLakeland, GA 31635 · Lanier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Psychiatry & Neurology (Neurology)
4274 N VALDOSTA RD
VALDOSTA, GA 31602
Specialist
4274 N VALDOSTA RD
VALDOSTA, GA 31602
Physical Therapist
4274 N VALDOSTA RD
VALDOSTA, GA 31602
Physical Therapist
4274 N VALDOSTA RD
VALDOSTA, GA 31602
Nurse Practitioner
4274 N VALDOSTA RD
VALDOSTA, GA 31602
Nurse Practitioner (Family)
4274 N VALDOSTA RD
VALDOSTA, GA 31602
Nurse Practitioner (Family)
4274 N VALDOSTA RD
VALDOSTA, GA 31602
Neurological Surgery
4274 N VALDOSTA RD
VALDOSTA, GA 31602

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 Mcneal's NPI number?

The NPI number for Shelby Mcneal is 1265020358. It was assigned to this individual provider in the NPPES registry on January 5, 2021. The provider is also known as Shelby Ogden.

Where is Shelby Mcneal located?

Shelby Mcneal practices at 4274 N Valdosta Rd, Valdosta, GA 31602. The listed phone number is (229) 242-1234.

What is Shelby Mcneal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shelby Mcneal enrolled in Medicare?

Yes. Shelby Mcneal 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.

What insurance does Shelby Mcneal accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shelby Mcneal 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.

Is Shelby Mcneal affiliated with any hospitals?

According to CMS data, Shelby Mcneal is affiliated with Sgmc Health and Sgmc Health Lanier.

When was this NPI record last updated?

The NPPES record for Shelby Mcneal was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.