DONALD HUGH SHUMATE JR. FNP-BC
NPI 1780970236
Nurse Practitioner in Rome, GA

Q: What is Donald Shumate's NPI number?

The NPI number for Donald Shumate is 1780970236. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Donald Shumate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Shumate was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment

1825 MARTHA BERRY BLVD NW, ROME, GA 30165(706) 238-8073(706) 238-8081 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Donald Hugh Shumate Jr. Fnp-bc NPPES

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

DONALD HUGH SHUMATE JR. FNP-BC (NPI 1780970236) is an individual nurse practitioner in Rome, Georgia, licensed in Georgia (RN175443) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Polk Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1780970236

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDONALD HUGH SHUMATE JR.Credential: FNP-BC

Location Address1825 MARTHA BERRY BLVD NWRome, GA 30165-1625

Mailing Address1825 Martha Berry Blvd NwRome, GA 30165-1625 · (706) 295-5331

Phone(706) 238-8073

Fax(706) 238-8081

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 23, 2011

Last NPPES UpdateFebruary 6, 2013

✔ NPI 1780970236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN175443

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1825 MARTHA BERRY BLVD NW, Rome, GA 30165

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Other Identifiers 2

Medicaid003110431AGA

Medicare PIN202I505261GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Hugh Shumate Jr. Fnp-bc 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.

PECOS PAC ID3274711635

PECOS Enrollment IDI20110707000315

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

120 services107 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Floyd Polk Medical Center

Critical Access Hospitals · Cedartown, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number111330

Location2360 Rockmart HighwayCedartown, GA 30125 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. MICHAEL L WHITE PAC

Physician Assistant