DILLETA ANDREE SHACKELFORD APRN
NPI 1811209208
Nurse Practitioner - Occupational Health in Valdosta, GA

Q: What is Dilleta Shackelford's NPI number?

The NPI number for Dilleta Shackelford is 1811209208. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Q: What is Dilleta Shackelford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Active since July 14, 2010PECOS Enrolled

520 GRIFFIN AVE, VALDOSTA, GA 31601(229) 249-6302(229) 249-4009 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dilleta Andree Shackelford Aprn NPPES

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

DILLETA ANDREE SHACKELFORD APRN (NPI 1811209208) is an individual occupational health provider in Valdosta, Georgia, licensed in Georgia (RN080625) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811209208

Entity TypeIndividualFemale

Primary Taxonomy363LX0106X

Provider Legal NameDILLETA ANDREE SHACKELFORDCredential: APRN

Location Address520 GRIFFIN AVEValdosta, GA 31601-6331

Mailing Address520 Griffin AveValdosta, GA 31601-6331 · (229) 249-6302 · Fax (229) 249-4009

Phone(229) 249-6302

Fax(229) 249-4009

Sole ProprietorYes

Enumeration DateJuly 14, 2010

✔ NPI 1811209208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0106X

License✔ Licensed in GA · RN080625

520 GRIFFIN AVE, Valdosta, GA 31601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dilleta Andree Shackelford Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31601 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARTNERSHIP HEALTH CENTER

Clinic/Center (Community Health)