DR. JOHN JUDSON SHELNUTT (M.D.) – Obstetrics & Gynecology Physician, NPI 1407823719

DR. JOHN JUDSON SHELNUTT (M.D.) is a healthcare provider. based in Athens, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 046813 (GA). The NPI Number for DR. JOHN JUDSON SHELNUTT (M.D.) is 1407823719

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN JUDSON SHELNUTT (M.D.)
NPI
1407823719
Phone
(706) 227-1164
Address
1500 OGLETHORPE AVE
Enumeration Date
6 March 2006
Last Update Date
30 September 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7062868694
Graduation Year
1994 (32 years ago)
PAC ID
9931395373
Group Practice PAC ID
2961705090
Professional Enrollment ID
I20220921000405
Address ID
GA306062168AT1000XAVEX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,271 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for DR. JOHN JUDSON SHELNUTT (M.D.)

  • 1500, Oglethorpe Avenue, Elder, Athens, Athens-Clarke County, Georgia, 30606, United States

    SUITE 200B

    ATHENS, GA 306062179

    Phone: (706) 227-1164

    Fax: (706) 227-1971

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-09-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101124000013IObstetrics/GynecologyGATBD
I20220921000405IObstetrics/GynecologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30606)

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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: 2961705090View full group profile
NameSpecialtyState
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JOHN JUDSON SHELNUTT (M.D.)?
NPI 1407823719 is assigned to DR. JOHN JUDSON SHELNUTT (M.D.) under the national enumeration system.
Is DR. JOHN JUDSON SHELNUTT (M.D.)'s NPI currently valid?
The extract we use shows DR. JOHN JUDSON SHELNUTT (M.D.) as active.
What kind of provider is DR. JOHN JUDSON SHELNUTT (M.D.)?
The page reflects Obstetrics & Gynecology Physician for DR. JOHN JUDSON SHELNUTT (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JOHN JUDSON SHELNUTT (M.D.)?
The page summarizes Athens, Georgia for DR. JOHN JUDSON SHELNUTT (M.D.); expand the address list for detail.
What if Athens, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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