Dr Stefanie Lee Shaver, MD is a
Preventive Medicine - Aerospace Medicine physician based in Columbus, Mississippi. Dr Stefanie Lee Shaver is licensed to practice in Georgia (license number 56647) and her current practice location is Koritz Clinic 201 Independence Drive, Columbus, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 434-2292.
NPI number for Dr Stefanie Lee Shaver is 1093821019 and her current mailing address is 201 Independence Drive Koritz Clinic, Columbus, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093821019.
Physician's Profile
| Full Name | Dr Stefanie Lee Shaver |
|---|
| Gender | Female |
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| Speciality | Preventive Medicine - Aerospace Medicine |
|---|
| Location | Koritz Clinic 201 Independence Drive, Columbus, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093821019
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 09/29/2025
Medical Identifiers
Medical identifiers for Dr Stefanie Lee Shaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093821019 | NPI | - | NPPES |
| 802792298B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QS0010X | Family Medicine - Sports Medicine | 056647 (Georgia) | Secondary |
| 171000000X | Military Health Care Provider | 56647 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 056647 (Georgia) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 56647 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stefanie Lee Shaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stefanie Lee Shaver, MD
201 Independence Drive Koritz Clinic,
Columbus, MS 39710-7594
Ph: (404) 432-2724 | Dr Stefanie Lee Shaver, MD
Koritz Clinic 201 Independence Drive,
Columbus, MS 39710-7139
Ph: (662) 434-2292 |
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