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Shaw Living PC

Family Medicine Physician in Thomasville, GA · enumerated 2019 · authorized official Lacy Bradford, Office Manager.

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

National Provider Identifier

1033778923

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Registry record

Entity type Organization (Type 2)
Legal business name Shaw Living PC
Practice address 2484 E Pinetree Blvd, Thomasville, GA, 31792
Fax (229) 226-8232
Enumeration date Jun 13, 2019
Last updated in NPPES Feb 28, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lacy Bradford
Title Office Manager

Other identifiers

Identifier Type State Issuer
179012663G Medicaid GA -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-28. Verify at npiregistry.cms.hhs.gov.
Where is Shaw Living PC located?
The practice location on file with NPPES is in Thomasville, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-28.