Jeffrey David Shirley, CNS is a medicare enrolled "Clinical Nurse Specialist" in Newnan, Georgia. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). He is a member of the group practice Piedmont Providers Llc and his current practice location is
2301 Newnan Crossing Blvd E Ste 210, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 400-7800.
Jeffrey David Shirley is licensed to practice in Georgia (license number GAA-CNS001441) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689811200.
Provider's Profile
| Full Name | Jeffrey David Shirley |
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| Gender | Male |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 27 Years |
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| Location | 2301 Newnan Crossing Blvd E Ste 210, Newnan, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeffrey David Shirley graduated from nursing school in 1997
NPI Data:
- NPI Number: 1689811200
- Provider Enumeration Date: 01/20/2009
- Last Update Date: 06/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961569017
- Enrollment ID: I20230630001035
Medical Identifiers
Medical identifiers for Jeffrey David Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689811200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 733869 (Texas) | Secondary |
| 364S00000X | Clinical Nurse Specialist | GAA-CNS001441 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Piedmont Providers Llc | 9830082825 | 371 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey David Shirley allows following entities to bill medicare on his behalf.
| Entity Name | Piedmont Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321 |
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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. Jeffrey David Shirley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jeffrey David Shirley, CNS
6500 N Mo Pac Expy, Bldg. 3, Suite 200,
Austin, TX 78731-3282
Ph: (512) 458-8400 | Jeffrey David Shirley, CNS
2301 Newnan Crossing Blvd E Ste 210,
Newnan, GA 30265-2576
Ph: (770) 400-7800 |
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