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

Dr. Shane A Avery, MD

Individual provider Family Medicine Physician · NPI 1568452696

Dr. Shane A Avery, MD is a Family Practice in Scottsburg, Indiana. Graduated from Indiana University School of Medicine in 1995, 31 years ago. Practices with Southeastern Emergency Physicians of Memphis LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
31
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
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

1469 N Gardner
Scottsburg, IN 47170-0290
Phone: (812) 752-1151
Fax: (812) 752-1152
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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 01045558A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01045558A (IN)

Record details

NPI number1568452696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESMarch 7, 2017
Mailing address1469 North Gardner, Po Box 290, Scottsburg, IN 47170-0290

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Southeastern Emergency Physicians Of Memphis Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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