MEDICARE: MICHAEL D SHEPHERD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G459940	CA
2	207Q00000X	Family Medicine Physician	48225	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	770560203 0005	OTHER	CA	CIGNA
2	ZZZ43971Z	OTHER	CA	BLUE SHIELD
3	770560203	OTHER	CA	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962481713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL D SHEPHERD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11023
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37401-2023
Country	:	US
Telephone Number	:	423-778-3274
Fax Number	:	423-778-2255

Provider Business Practice Location Address
First Line	:	1100 EAST THIRD STREET
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37403-2241
Country	:	US
Telephone Number	:	423-778-8837
Fax Number	:	423-778-9301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	03/01/2012

Similar Medicare Providers

1558359448 — DR. JAMES W. HAYNES M.D.
Practice Location Address:

1100 EAST THIRD ST
CHATTANOOGA, TN
37403-2241

Practice Phone: 423-778-8837
Practice Fax: 423-778-9301

1790729572 — PAUL LARRY DASSOW MD
Practice Location Address:

1100 E 3RD ST
CHATTANOOGA, TN
37403-2241

Practice Phone: 423-778-9300
Practice Fax: 423-778-9301

1073646006 — MICHELE APRIL BOAZ P.T.
Practice Location Address:

1100 E 3RD ST # G-103
CHATTANOOGA, TN
37403-2241

Practice Phone: 423-778-2930
Practice Fax:

1497957914 — DR. MALISSA GOBBELL TALBERT M.D.
Practice Location Address:

1100 E 3RD ST , UTFP
CHATTANOOGA, TN
37403-2241

Practice Phone: 423-778-8837
Practice Fax:

1053633719 — MRS. GLORIA KEEL EDWARDS RN
Practice Location Address:

1100 E 3RD ST , SUITE G-100
CHATTANOOGA, TN
37403-2241

Practice Phone: 423-643-2246
Practice Fax: 423-643-2030

1457673030 — AVELIZA MERCADO LAC
Practice Location Address:

1100 E 3RD ST , SUITE G-100
CHATTANOOGA, TN
37403-2241

Practice Phone: 423-643-2246
Practice Fax: 423-643-2030

Directions to “ MICHAEL D SHEPHERD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.