Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael George Shaw, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073058020

Michael George Shaw, PMHNP-BC is a Nurse Practitioner in Brandon, Mississippi. Qualified in 2016, 10 years ago. Practices with Uppal Medical Center LLC, a 131-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2016
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

23 Pebble Hill Dr
Brandon, MS 39042-2140
Phone: (601) 941-6897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 901869 (MS)

Record details

NPI number1073058020
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESDecember 29, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Uppal Medical Center Llc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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