Austin Jordan Shinaberry, PHYSICIAN ASSISTANT
NPI 1053175661ActiveIndividual· Physician Assistant, Medical· Bartlett, TN
Physician Assistant, Medical (PHYSICIAN ASSISTANT) in Bartlett, Tennessee, trained at Medical University of South Carolina College of Medicine (class of 2025). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1053175661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Feb 13, 2024 |
| Last updated in NPPES | Sep 19, 2025 |
| Certified by provider | Sep 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 6705 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physician Assistant |
Medical group
- Hamad Ahmad MD PCSouthaven, MS · 13 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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