SHAVONE BELLAMY — NPI 1982365979 (Licensed & Credentialed Specialist, Prosthetics Case Management in ORANGE PARK, FL)

CMS-1500 Box 24J / 33a • NPI

1982365979

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1744P3200X

Licensed & Credentialed Specialist, Prosthetics Case Management

Box 32 Service Location & ZIP+4

108 KINGSLEY AVE STE 210, ORANGE PARK, FL, 32073-5685

✓ 9-Digit EDI 837 ZIP+4 (32073-5685)

Practice Phone & Referral Fax

(912) 722-3281

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1982365979 (SHAVONE BELLAMY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1982365979` (NPI-1 Individual Practitioner)
Provider / Legal Name	SHAVONE BELLAMY
Plain-English Specialty	Licensed & Credentialed Specialist, Prosthetics Case Management NUCC Code: `1744P3200X` (Specialist, Prosthetics Case Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	108 KINGSLEY AVE STE 210, ORANGE PARK, FL, 32073-5685
Practice Telephone / Fax	Tel: (912) 722-3281
Administrative Mailing Address	2164 US HIGHWAY 84, BLACKSHEAR, GA, 31516-1160
Enumeration & Last Sync	Enumerated: 2022-01-03 \| CMS Record Updated: 2023-04-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

108 KINGSLEY AVE STE 210, ORANGE PARK, FL, 32073-5685

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Plain-English Taxonomy & CMS Crosswalk (1744P3200X)

What Does Taxonomy Code 1744P3200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1744P3200X translates to:
"Licensed & Credentialed Specialist, Prosthetics Case Management"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist, Prosthetics Case Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SHAVONE BELLAMY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1744P3200X` — Specialist, Prosthetics Case Management Plain English: Licensed & Credentialed Specialist, Prosthetics Case Management	State: N/A \| License: `Verified` \| Primary: Secondary
`1744P3200X` — Specialist, Prosthetics Case Management Plain English: Licensed & Credentialed Specialist, Prosthetics Case Management	State: GA \| License: `Verified` \| Primary: Yes (Primary)

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SHAVONE BELLAMY (NPI #1982365979)