Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shane Mcdougal, MD

Family Medicine Physician in Whitesburg, KY · enumerated 2006 · practices at Primary Care Centers of Eastern Kentucky, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104871862

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Registry record

Entity type Individual (Type 1)

Name Shane Mcdougal

Credential MD

Sex Male

Practice address 47 Highway 119 S, Ste 3, Whitesburg, KY, 41858

Phone (606) 633-7000

Fax (606) 633-7001

Enumeration date May 23, 2006

Last updated in NPPES Oct 17, 2018

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 37761 (KY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
64063126	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Shane Mcdougal's NPI record?

Cross-check NPI 1104871862 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104871862 active?

Yes, as of the latest NPPES snapshot, NPI 1104871862 is active (record last updated 2018-10-17).

Other providers at this practice address

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Primary Care Centers of Eastern Kentucky, LLC Rural Health Clinic/Center · Whitesburg, KY NPI 1366227555

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-17.