SHAD ASHTON STORMANT – Family Medicine Physician, NPI 1295084374

SHAD ASHTON STORMANT is a healthcare provider. based in Waycross, Georgia. specializing in FAMILY PRACTICE. They hold a License No. 079703 (GA). The NPI Number for SHAD ASHTON STORMANT is 1295084374

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SHAD ASHTON STORMANT
NPI
1295084374
Phone
(912) 283-1359
Address
1718 OLD REYNOLDS ST
Enumeration Date
5 September 2012
Last Update Date
28 September 2022

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2294347100
Graduation Year
2015 (11 years ago)
PAC ID
2365744539
Group Practice PAC ID
9335037571
Professional Enrollment ID
I20180810001787
Address ID
GA315102922AL302XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for SHAD ASHTON STORMANT

  • 1718 OLD REYNOLDS ST

    WAYCROSS, GA 315011036

    Phone: (912) 283-1359

    Fax: (912) 283-1360

    Type: Mailing

  • 1550 COLLEGE STREET

    MACON, GA 312070001

    Phone: (478) 301-2652

    Type: Location

  • 1302 PLANT AVE

    WAYCROSS, GA 315013537

    Phone: (912) 490-5080

    Fax: (912) 490-5081

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,266.

Total Amount is formed as General ($1,266) + Research ($0) + Ownership ($0) = $1,266.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($133).

Total Amount

$1,266

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180810001787IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,211302$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month56981$0
36415Insertion of needle into vein for collection of blood sample515260$0
96372Injection of drug or substance under skin or into muscle442101$0
J1100Injection, dexamethasone sodium phosphate, 1 mg24868$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335037571View full group profile
NameSpecialtyState
Family PracticeAL
Emergency MedicineNV
-GA
-TN
Emergency Medicine, Internal MedicineGA
Emergency MedicineGA
Family Practice, Emergency MedicineGA
-GA
-GA
Pediatric Medicine, Otolaryngology, Otolaryngology, Emergency Medicine, Pediatric Medicine, Emergency MedicineFL

Reviews

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Frequently asked questions

Can I verify SHAD ASHTON STORMANT with an NPI only?
You can start verification with NPI 1295084374 for SHAD ASHTON STORMANT, then check state licensing separately.
Is SHAD ASHTON STORMANT still practicing?
SHAD ASHTON STORMANT is currently listed as active in the public NPI registry.
What taxonomy line describes SHAD ASHTON STORMANT?
For research purposes, treat SHAD ASHTON STORMANT as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SHAD ASHTON STORMANT list a practice location?
Patients near Waycross, Georgia may find SHAD ASHTON STORMANT in results; validate coverage separately.
Is the information about SHAD ASHTON STORMANT up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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