The Ship Group Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE SHIP GROUP SERVICES LLC

Practice address

3126 Milton Rd Ste 215
Charlotte, NC 28215-3778

Phone

(704) 553-5392

Fax

(980) 333-4063

NPI assigned

Mar 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kerry L. Shipman, J.D.

Title

Director

Phone

(704) 553-5392

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

The Ship Group Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Ship Group Services LLC

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
  • NPI 1003685611
  NPD tax ID
• The Ship Group Services LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1992440325
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ann Peoples, PA

  • Physician Assistant
  • Concord, NC
  • NPI 1053817619
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1023768579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42915",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150017",
            "telephone_number": "704-553-5392",
            "fax_number": "980-333-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153778",
            "telephone_number": "704-553-5392",
            "fax_number": "980-333-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHIP GROUP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-553-5392",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Sanctuary Centre
• The Sanger Clinic PA
• The Sean Center
• The Shepard'S House, LLC
• The Ship Group Services LLC
• The Ship Group Services LLC
• The SNF Group, PLLC
• The Spaces in Between, PLLC
• The Speaking Zone, LLC
• The Speech Garden, LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.