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DR. JONATHAN DAVID SHAW MD
NPI 1669579116
Psychiatry & Neurology - Child & Adolescent Psychiatry in Memphis, TN

Active since September 19, 2006PECOS Enrolled
2911 BRUNSWICK ROAD, MEMPHIS, TN 38133(901) 377-4700 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan David Shaw Md NPPES

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

DR. JONATHAN DAVID SHAW MD (NPI 1669579116) is an individual child & adolescent psychiatry provider in Memphis, Tennessee, licensed in Tennessee (36677) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669579116
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JONATHAN DAVID SHAWCredential: MD
Location Address2911 BRUNSWICK ROADMemphis, TN 38133
Mailing AddressPo Box 415000 Msc7548Nashville, TN 37241-7548 · (901) 377-4700 · Fax (901) 377-4752
Phone(901) 377-4700
Sole ProprietorNo
Enumeration DateSeptember 19, 2006
Last NPPES UpdateJune 1, 2018
✔ NPI 1669579116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in TN · 36677
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

2911 BRUNSWICK ROAD, Memphis, TN 38133
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Other Identifiers 2

Medicaid00877855MS
MedicaidQ008619TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan David Shaw Md 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.

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 Jonathan Shaw's NPI number?

The NPI number for Jonathan Shaw is 1669579116. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Jonathan Shaw located?

Jonathan Shaw practices at 2911 Brunswick Road, Memphis, TN 38133. The listed phone number is (901) 377-4700.

What is Jonathan Shaw's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jonathan Shaw enrolled in Medicare?

Yes. Jonathan Shaw is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Shaw accept?

Health plans from Providence Health Plan list Jonathan Shaw 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 Jonathan Shaw was last updated on June 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.