Robert H. Shackelford, DDS
NPI 1114116365ActiveIndividual· Dentist, General Practice· Suwanee, GA
Dentist, General Practice (DDS) in Suwanee, Georgia, licensed in GA, with an NPI issued in October 2007. Part D covered 32 prescriptions written in 2024, 59% of them generic. Benco Dental Supply Co. reported $14.56 in payments in 2024, mostly honoraria.
Overview
| NPI | 1114116365 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Oct 23, 2007 |
| Last updated in NPPES | Oct 23, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9972 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 32 · 35 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $310.59 |
| Generic share | 59% of claims |
Industry payments (Open Payments)
- 2024$14.56 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Benco Dental Supply Co. | $14.56 | 1 |
What the 2024 payments were for
- Honoraria$14.56 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 62 general dentists in Suwanee · All general dentists in Georgia