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

Shad Ashton Stormant

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295084374

Shad Ashton Stormant is a Family Practice in Waycross, Georgia. Graduated from Mercer University School of Medicine in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1302 Plant Ave
Waycross, GA 31501-3537
Phone: (912) 490-5080
Fax: (912) 490-5081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 079703 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1295084374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address1302 Plant Ave, Waycross, GA 31501-3537

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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