MS. JASMINE DONESHA SHACKELFORD (MD) – Family Medicine Physician, NPI 1629606264
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for MS. JASMINE DONESHA SHACKELFORD (MD)
915 W GORDON ST
THOMASTON, GA 302863427
Phone: (706) 647-7009
Type: Mailing
104 MADDOX RD
GRIFFIN, GA 302245282
Phone: (678) 588-5140
Type: Mailing
EMORY FAMILY MEDICINE
4500 NORTH SHALLOWFORD ROAD
ATLANTA, GA 30338
Phone: (404) 778-6920
Fax: (404) 778-6901
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $1,512.
Total Amount is formed as General ($1,512) + Research ($0) + Ownership ($0) = $1,512.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($268).
Total Amount
$1,512
General + Research + Ownership
Payments
97
Total payment records
General Amount
$1,512
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $268 |
| Lilly USA, LLC | $214 |
| ABBVIE INC. | $214 |
| Amgen Inc. | $105 |
| GlaxoSmithKline, LLC. | $77 |
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: 2023-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230808000060 | I | Family Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 50 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 40 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 27 | $0 |
Insurance plans in this area (ZIP 30286)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Family Practice | GA |
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