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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL TODD SHULL IDC
NPI 1972565463
Military Health Care Provider - Independent Duty Corpsman in Kings Bay, GA

Active since April 03, 2006
881 USS JAMES MADISON RD, KINGS BAY, GA 31547(912) 573-2410 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael Todd Shull Idc NPPES

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

MICHAEL TODD SHULL IDC (NPI 1972565463) is an individual independent duty corpsman provider in Kings Bay, Georgia and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1972565463
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMICHAEL TODD SHULLCredential: IDC
Location Address881 USS JAMES MADISON RDKings Bay, GA 31547-2531
Mailing Address108 Honeysuckle RdKingsland, GA 31548-6486 · (912) 576-8169
Phone(912) 573-2410
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1972565463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
881 USS JAMES MADISON RD, Kings Bay, GA 31547
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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.

MR. DAVID PATRICK NORRIS IDC, BSHS,MSHS,USN
Military Health Care Provider (Independent Duty Corpsman)
881 USS JAMES MADISON RD, NAVAL BRANCH HEALTH CLINIC
CPU KINGS BAY, GA 31547
Camden County (912) 573-2410
MR. ROBERT ANTHONY BICANOVSKY IDC
Military Health Care Provider (Independent Duty Corpsman)
881 USS JAMES MADISON RD
KINGS BAY, GA 31547
Camden County (912) 573-2410
BRANCH MEDICAL CLINIC KINGS BAY
Clinic/Center (Military/U.S. Coast Guard Outpatient)
881 USS JAMES MADISON RD
KINGS BAY, GA 31547
Camden County (912) 573-6398
DR. RICHARD RHENDYLL ABITRIA MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
881 USS JAMES MADISON RD
KINGS BAY, GA 31547
Camden County (904) 571-1363
MICHEAL SHANE CURRY MPAS, PA-C
Physician Assistant (Medical)
881 USS JAMES MADISON RD
KINGS BAY, GA 31547
Camden County (912) 573-6510
MR. CHRISTOPHER F.M. PEASE IDC
Military Health Care Provider (Independent Duty Corpsman)
881 USS JAMES MADISON RD
KINGS BAY, GA 31547
Camden County (912) 573-4238
DYLAN SHANE BANKS
Specialist/Technologist, Other
881 USS JAMES MADISON RD
KINGS BAY, GA 31547
Camden County (912) 573-4460
NORBERTO CAEZ IDC
Military Health Care Provider (Independent Duty Corpsman)
881 USS JAMES MADISON RD
KINGS BAY, GA 31547
Camden County (912) 573-2939

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 Michael Shull's NPI number?

The NPI number for Michael Shull is 1972565463. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Michael Shull located?

Michael Shull practices at 881 Uss James Madison Rd, Kings Bay, GA 31547. The listed phone number is (912) 573-2410.

What is Michael Shull's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Michael Shull was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.