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.Information from the official NPPES registry record, last updated June 1, 2018.

NPPES Registry Identity

NPI1669579116
Entity TypeIndividualMale
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
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. How NPI validation works

Primary Specialty

Psychiatry & Neurology · Child & Adolescent Psychiatry

Taxonomy 2084P0804X · Allopathic & Osteopathic Physicians

Licensed in TN · 36677

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and… Show more

2911 BRUNSWICK ROAD, Memphis, TN 38133

Also on File with NPPES

Other Identifiers2
00877855 (Medicaid, MS)
Q008619 (Medicaid, TN)

Medicare Participation & PECOS Enrollment Status

Jonathan Shaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669579116, enumerated as an "individual" on September 19, 2006.

The provider is located at 2911 BRUNSWICK ROAD MEMPHIS, TN 38133 and the phone number is (901) 377-4700.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.