FIRST UROLOGY, PSC
NPI 1487911673
Urology in Shelbyville, KY

Active since April 12, 2012CLIA Certified · 2 labs
515 HOSPITAL DR, SUITE 3, SHELBYVILLE, KY 40065(502) 633-2661(812) 282-4172 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Feb 7, 2025 (2 updates tracked since 2025).

About First Urology, Psc NPPES

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

FIRST UROLOGY, PSC (NPI 1487911673) is a healthcare organization registered as an urology in Shelbyville, Kentucky and active in the NPI registry since April 2012. The organization holds 2 active CLIA laboratory certificates and lists Michael J Shannon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487911673
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFIRST UROLOGY, PSC
Location Address515 HOSPITAL DR, SUITE 3Shelbyville, KY 40065-1619
Mailing Address101 Hospital BlvdJeffersonville, IN 47130-3769 · (812) 282-3899 · Fax (812) 282-4172
Fax(812) 282-4172
Organization SubpartYes
Authorized OfficialMichael J ShannonCeo · (812) 282-3899
Enumeration DateApril 12, 2012
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1487911673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedNurse PractitionerTaxonomy 363L00000X
515 HOSPITAL DR, Shelbyville, KY 40065

Other Identifiers 2

Medicaid78902830KY
Medicaid65906414KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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) 18D0320503

First Urology, Psc · Shelbyville, KY
Active · expires Feb 24, 2028
CLIA Number18D0320503
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorM B. Jackson II MD
Laboratory Phone(502) 633-2661
Laboratory LocationFirst Urology, Psc515 Hospital Dr #3, Shelbyville, KY 40065
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0705826

First Urology, Psc · Carrollton, KY
Active · expires Aug 31, 2026
CLIA Number18D0705826
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. M B. Jackson
Laboratory Phone(502) 633-2661
Laboratory LocationFirst Urology, Psc309 11th Street, Carrollton, KY 41008
CLIA data matches this NPI record on: 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 8

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

Family Medicine
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Physician Assistant
515 HOSPITAL DR, SUITE # 1
SHELBYVILLE, KY 40065
Family Medicine
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Family Medicine
515 HOSPITAL DR, STE 1
SHELBYVILLE, KY 40065
Internal Medicine
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Physician Assistant
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Physical Therapist
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065
Nurse Practitioner (Family)
515 HOSPITAL DR, SUITE 1
SHELBYVILLE, KY 40065

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 First Urology, Psc's NPI number?

The NPI number for First Urology, Psc is 1487911673. It was assigned to this organization in the NPPES registry on April 12, 2012.

Where is First Urology, Psc located?

First Urology, Psc is located at 515 Hospital Dr Suite 3, Shelbyville, KY 40065. The listed phone number is (502) 633-2661.

What is First Urology, Psc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does First Urology, Psc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for First Urology, Psc was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.