Sha Diabetes Center LLC
NPI 1063293603 · Clinic/Center · Dothan, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sha Diabetes Center LLC is a Clinic/Center organization in Dothan, AL (NPI 1063293603).
Provider details
- NPI number
- 1063293603
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tai Bolaji, Dr./Ceo(334) 778-7090
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Frequently asked questions
- What is Sha Diabetes Center LLC's NPI number?
- Sha Diabetes Center LLC's National Provider Identifier (NPI) is 1063293603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sha Diabetes Center LLC?
- Sha Diabetes Center LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sha Diabetes Center LLC located?
- Sha Diabetes Center LLC's practice location on file with NPPES is 172 Luds Way, Dothan, AL 36304-8803.
- What is Sha Diabetes Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Sha Diabetes Center LLC is (334) 475-0646.
- Does Sha Diabetes Center LLC accept Medicare?
- Sha Diabetes Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sha Diabetes Center LLC?
- The authorized official listed on Sha Diabetes Center LLC's NPPES record is Tai Bolaji, Dr./Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sha Diabetes Center LLC's NPI active?
- Yes — Sha Diabetes Center LLC's NPI (1063293603) is active in the NPPES registry as of the last update on 2024-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.