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JAE WOO SHIN MD
NPI 1669059838
Urology in Fort Benning, GA

Active since March 25, 2021
6600 VAN AALST BLVD, FORT BENNING, GA 31905(762) 408-2604 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Feb 5, 2023, Mar 25, 2021 (3 updates tracked since 2021).

About Jae Woo Shin Md NPPES

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

JAE WOO SHIN MD (NPI 1669059838) is an individual urology provider in Fort Benning, Georgia, licensed in Nebraska (35069) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1669059838
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJAE WOO SHINCredential: MD
Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Benning, GA 31905-2102 · (762) 408-2604
Phone(762) 408-2604
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1669059838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NE · 35069
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.
6600 VAN AALST BLVD, Fort Benning, GA 31905
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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.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

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 Jae Woo Shin's NPI number?

The NPI number for Jae Woo Shin is 1669059838. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Jae Woo Shin located?

Jae Woo Shin practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (762) 408-2604.

What is Jae Woo Shin's specialty?

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

When was this NPI record last updated?

The NPPES record for Jae Woo Shin was last updated on May 20, 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.