SHELTON SPORTS AND SPINE – NPI #1760874721
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

SHELTON SPORTS AND SPINE is an AHC clinic located in DULUTH, GA. NPPES has assigned the NPI number 1760874721 to SHELTON SPORTS AND SPINE on March 01, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 4 years ago on Oct 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHELTON SPORTS AND SPINE below.

NPI Profile for
SHELTON SPORTS AND SPINE

NPI Number
1760874721
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHELTON SPORTS AND SPINE
Primary location
4300 PLEASANT HILL RD
SUITE A
DULUTH, GA 30096
Phone: (770) 904-9602 Fax: (678) 401-0372
1 Other location(s):
1600 Kennesaw Due West Rd NW
suite 501
Kennesaw, GA 30152-4301
Phone: (770) 904-9602
Fax: (678) 401-0372
Mailing address
4300 PLEASANT HILL RD STE A
DULUTH, GA 30096-6379
Phone: (770) 904-9602 Fax:
Organization Subpart
No
Authorized Official
TIMOTHY SHELTON
FOUNDER
Phone: (770) 904-9602
Updated
Certification Date
Mar 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.