Jerry Shadbolt, ATC

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 29, 2005

Quick Facts

NPI Number
1932192671
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2255A2300X — Specialty not listed
Phone
(803) 778-5223
StateSC

NPI Validation Status: Verified

Valid 10-digit NPI number (1932192671)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 29, 2005)
Data source: CMS NPPES

Provider Overview

JERRY SHADBOLT, ATC is a Healthcare provider based in Sumter, SC who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1932192671
Provider TypeIndividual Provider
GenderMale
CredentialATC
StatusActive
Enumeration DateAugust 29, 2005

Practice Location

CitySumter
StateSC
ZIP Code29150-1905
Phone(803) 778-5223

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2255A2300X
License StateSC

Mailing Address

CitySumter
StateSC
ZIP Code29150-1905
Phone(803) 778-5223
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1932192671 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1932192671for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1932192671 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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48,897
Specialty not listed Providers in the US

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People Also Ask

What is Jerry Shadbolt's NPI number?
Jerry Shadbolt's NPI number is 1932192671, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jerry Shadbolt's NPI currently active?
Yes, Jerry Shadbolt's NPI status is Active as of the latest CMS NPPES database updates.
What does Jerry Shadbolt specialize in?
Jerry Shadbolt specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2255A2300X.
Where does Jerry Shadbolt practice?
Jerry Shadbolt practices in Sumter, SC 29150-1905.
When was Jerry Shadbolt's NPI issued?
Jerry Shadbolt's NPI was issued on August 29, 2005.
What is Jerry Shadbolt's provider type?
Jerry Shadbolt is registered as an Individual Provider under CMS NPI Type 1.