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MICHAEL SHANE FITZGIBBONS DO
NPI 1467256594
Military Health Care Provider in Lynchburg, VA

Active since April 01, 2025PECOS Enrolled
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502(434) 592-6400 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael Shane Fitzgibbons Do NPPES

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

MICHAEL SHANE FITZGIBBONS DO (NPI 1467256594) is an individual military health care provider provider in Lynchburg, Virginia, licensed in Georgia (112703) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1467256594
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameMICHAEL SHANE FITZGIBBONSCredential: DO
Location Address306 LIBERTY VIEW LNLynchburg, VA 24502-2291
Mailing Address7 Windswept CirBrewster, NY 10509-4900
Phone(434) 592-6400
Sole ProprietorYes
Enumeration DateApril 1, 2025
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1467256594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in GA · 112703
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
306 LIBERTY VIEW LN, Lynchburg, VA 24502
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Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-4951

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Shane Fitzgibbons Do 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.

Other Providers at the Same Location NPPES 20

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

CATHERINE PRINCE DEUCHLER
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (407) 919-9753
ALEXANDRA LISA NORTHRUP
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (434) 592-6400
DAVID IAN KENDALL
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (434) 592-6400
MARCUS GARY
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (434) 592-6400
ANDREW RHEAM
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (434) 592-6400
MARTIN PHILLIP BAVA
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (434) 592-6400
THOMAS MORE ALIPRANTI
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (434) 592-6400
ADAM CHANT
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Lynchburg City (434) 592-6400

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 Michael Fitzgibbons's NPI number?

The NPI number for Michael Fitzgibbons is 1467256594. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Michael Fitzgibbons located?

Michael Fitzgibbons practices at 306 Liberty View Ln, Lynchburg, VA 24502. The listed phone number is (434) 592-6400.

What is Michael Fitzgibbons's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Michael Fitzgibbons enrolled in Medicare?

Yes. Michael Fitzgibbons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Fitzgibbons was last updated on June 11, 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.