SHELLMAN MEDICAL LLC
NPI 1992548994
Family Medicine in Shellman, GA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shellman Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Shellman Medical LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Shellman Medical LLC enrolled in Medicare?
Yes. Shellman Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shellman Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shellman Medical LLC, in Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
# Shellman Medical Llc · NPI 1992548994
Family Medicine organization in Shellman, Georgia. Organization record, active in the CMS NPPES registry since June 17, 2024.
## Identity
- **NPI:** 1992548994 (Entity type: Organization)
- **Enumerated:** June 17, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Shellman Medical (Other Name)
- **Organization subpart:** No
- **Authorized official:** Jeremy Sapp, CEO
## Practice location
- **Address:** 67 W RAILROAD ST, Shellman, GA 39886-3100
- **Phone:** (229) 883-1314
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992548994) · Data from the CMS NPPES public registry.