Georgia Shifflette (NPI# 1629220413, PAC ID# 8527107325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629220413 |
| PAC ID by PECOS | 8527107325 |
| Professional Enrollment ID | I20091208000671 |
| Full Name | Georgia Shifflette |
| Organization Legal Name | CIRCLES OF CARE INC |
| Address |
2000 Commerce Dr West Melbourne FL 32904-2335 |
| Phone Number | 4076766650 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729069380 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER-ROCKLEDGE |
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2000 Commerce Dr, West Melbourne, FL 32904-2335 | 4076766650 | CIRCLES OF CARE INC |
| 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 3219526000 | CIRCLES OF CARE INC |
| Organization Legal Name | CIRCLES OF CARE INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta Van Dusen | Clinical Social Worker | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Bethann Mahoney | Psychiatry | Circles of Care Inc | 1770 Cedar St, Rockledge, FL 32955-3133 |
| Davina A Bedsole | Psychologist, Clinical | Circles of Care Inc | 2020 Commerce Dr, West Melbourne, FL 32904-2335 |
| James A Miller Jr. | Psychiatry | Circles of Care Inc | 6700 S Us Hwy 1, Titusville, FL 32780-8050 |
| Laura N Vaughn | Psychologist, Clinical | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Kelly E Fuller | Nurse Practitioner | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Sajida Mathew | Psychiatry | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Paula Deforest | Psychologist, Clinical | Circles of Care Inc | 2020 Commerce Dr, West Melbourne, FL 32904-2335 |
| Jose J Alvarez | Psychiatry | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Jason C Wieseler | Psychologist, Clinical | Circles of Care Inc | 400 E Sheridan Rd, Melbourne, FL 32901-3122 |
| Street Address |
2000 COMMERCE DR |
| City | WEST MELBOURNE |
| State | FL |
| Zip | 32904-2335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Brad E Mccollom | Neurosurgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 | |
| Robert J Kennedy | Diagnostic Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Find all physicians in zip 32904 | |||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST MELBOURNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Georgia Shifflette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.