OrganizationActive
Five Star Diagnostics LLC
NPI 1558894576 · Endocrinology, Diabetes & Metabolism Physician · Maylene, AL
Provider details
- NPI number
- 1558894576
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cedric Shannon, Owner/Ceo(205) 478-1200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Early Intervention Provider Agency252Y00000X
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1028 Grande View Pass
Maylene, AL 35114-4004
Phone: (205) 478-1200
Street-level locationGet directions
Mailing address
1028 Grande View Pass
Maylene, AL 35114-4004
Registry dates
- Enumerated
- 2017-04-06
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.