Dr Thomas Austin Shelton, DNP is a
Nurse Practitioner - Pediatrics based in College Dale, Tennessee. Dr Thomas Austin Shelton is licensed to practice in Tennessee (license number 30906) and his current practice location is
5564 Little Debbie Pkwy # 114, College Dale, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 602-9545.
NPI number for Dr Thomas Austin Shelton is 1245999572 and his current mailing address is 4799 Rocky River Rd, Chattanooga, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245999572.
Provider's Profile
| Full Name | Dr Thomas Austin Shelton |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 5564 Little Debbie Pkwy # 114, College Dale, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245999572
- Provider Enumeration Date: 12/14/2021
- Last Update Date: 09/29/2022
Medical Identifiers
Medical identifiers for Dr Thomas Austin Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245999572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0200X | Registered Nurse - Pediatrics | 215180 (Tennessee) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP61251613 (Washington) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 30906 (Tennessee) | 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 Thomas Austin Shelton 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 Thomas Austin Shelton, DNP
4799 Rocky River Rd,
Chattanooga, TN 37416-3139
Ph: (706) 847-1323 | Dr Thomas Austin Shelton, DNP
5564 Little Debbie Pkwy # 114,
College Dale, TN 37363-4356
Ph: (423) 602-9545 |
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