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SHELLMAN MEDICAL LLC
NPI 1992548994
Family Medicine in Shellman, GA

Active since June 17, 2024CLIA 11D2313026 · Waiver
67 W RAILROAD ST, SHELLMAN, GA 39886(229) 883-1314 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shellman Medical Llc NPPES

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

SHELLMAN MEDICAL LLC (NPI 1992548994) is a healthcare organization registered as a family medicine in Shellman, Georgia and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Jeremy A Sapp, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992548994
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHELLMAN MEDICAL LLC
Location Address67 W RAILROAD STShellman, GA 39886-3100
Mailing AddressPo Box 207Shellman, GA 39886-0207
Phone(229) 883-1314
Organization SubpartNo
Authorized OfficialJeremy A SappCeo · (229) 883-1314
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1992548994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
67 W RAILROAD ST, Shellman, GA 39886
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Other Names 1

Other NameShellman Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2313026

Shellman Medical LLC · Shellman, GA
Active · expires Oct 22, 2026
CLIA Number11D2313026
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorWael A. Azer
Laboratory Phone(229) 679-2100
Laboratory LocationShellman Medical LLC67 W Railroad Street, Shellman, GA 39886
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

BETSY DIAZ FNP-C
Nurse Practitioner
67 W RAILROAD ST
SHELLMAN, GA 39886
Randolph County (229) 679-2100
TIFFANY HARRELL GARLAND NP-C
Nurse Practitioner
67 W RAILROAD ST
SHELLMAN, GA 39886
Randolph County (229) 679-2100
KJH MEDICAL SERVICES
Family Medicine
67 W RAILROAD ST
SHELLMAN, GA 39886
Randolph County (229) 679-2100
MRS. JESSICA ROSE FAUST RN, FNP-C
Nurse Practitioner (Family)
67 W RAILROAD ST
SHELLMAN, GA 39886
Randolph County (229) 679-2100

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 Shellman Medical LLC's NPI number?

The NPI number for Shellman Medical LLC is 1992548994. It was assigned to this organization in the NPPES registry on June 17, 2024. The provider is also known as Shellman Medical.

Where is Shellman Medical LLC located?

Shellman Medical LLC is located at 67 W Railroad St, Shellman, GA 39886. The listed phone number is (229) 883-1314.

What is Shellman Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shellman Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2313026) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shellman Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shellman Medical LLC 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 Shellman Medical LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.