SHANTELE HINTON BOLTON M.D.
NPI 1629418074
Obstetrics & Gynecology in Hattiesburg, MS
About Shantele Hinton Bolton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTELE HINTON BOLTON M.D. (NPI 1629418074) is an individual obstetrics & gynecology provider in Hattiesburg, Mississippi, licensed in Mississippi (T-2676) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shantele Hinton Bolton M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shantele Bolton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Womens Pavilion Of South Mississippi PLLC
- 14 clinicians in this Medicare group
Jackson, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 49 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shantele Bolton's NPI number?
The NPI number for Shantele Bolton is 1629418074. It was assigned to this individual provider in the NPPES registry on June 30, 2013.
Where is Shantele Bolton located?
Shantele Bolton practices at 6524 U S Highway 98, Hattiesburg, MS 39402. The listed phone number is (601) 268-9393.
What is Shantele Bolton's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Shantele Bolton enrolled in Medicare?
Yes. Shantele Bolton 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.
Which organizations bill Medicare for Shantele Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shantele Bolton reassigns Medicare benefits to 2 organizations: Southern Women's Health, PLLC (Hattiesburg, MS) and Southern Women's Health, PLLC (Jackson, 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 Shantele Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shantele Bolton accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Shantele Bolton 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 Shantele Bolton was last updated on July 21, 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.
# Shantele Hinton Bolton, M.D. · NPI 1629418074
Obstetrics & Gynecology physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since June 30, 2013.
## Identity
- **NPI:** 1629418074 (Entity type: Individual)
- **Enumerated:** June 30, 2013
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** T-2676 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 6524 U S HIGHWAY 98, Hattiesburg, MS 39402-8569
- **Phone:** (601) 268-9393 · **Fax:** (601) 268-9559
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Women's Health, PLLC (NPI 1396795571, Hattiesburg, MS); Southern Women's Health, PLLC (NPI 1174744379, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629418074) · Data from the CMS NPPES public registry.