Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Jason Shammaa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477035681

Dr. Jonathan Jason Shammaa, MD is a Family Practice in Fairhope, Alabama. Qualified in 2016, 10 years ago. Practices with Imc-Eastern Shore Adult Medicine, LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Greeno Rd S Ste B
Fairhope, AL 36532-1905
Phone: (251) 929-3424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.42873 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence L.4811R (AL)

Record details

NPI number1477035681
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 4, 2018
Last updated in NPPESAugust 9, 2021
Certification dateJuly 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Imc-Eastern Shore Adult Medicine, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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