Individual provider Active NPI

James H. Shepherd, MD

  • Family Medicine Physician
  • Kannapolis, NC
National Provider Identifier
1063400844
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9700396 Issued in NC
Practice address
4949 Professional Park Dr
Ste 101
Kannapolis, NC 28081-8637
Phone
(704) 938-6521
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9700396 NC
Family Medicine Physician 207Q00000X 9700396 NC Primary

Addresses

Primary practice location

4949 Professional Park Dr
Ste 101
Kannapolis, NC 28081-8637

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

8560 Cook St
Mount Pleasant, NC 28124-7686
Phone (704) 436-6521

Other practice location 2

5641 Poplar Tent Rd
Ste 101
Concord, NC 28027-7533
Phone (704) 782-1955

Other practice location 3

2090 S US 29 Hwy
China Grove, NC 28023-8650
Phone (704) 403-6800

Other practice location 4

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025-2441
Phone (704) 786-6521

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jshepherd128612@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000264 NC Practitioner - Family PracticePractitioner - General Practice 5092808618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

12016 Lemmond Farm Dr
Suite 200
Charlotte, NC 28227-8353
Phone (704) 863-0600

4949 Professional Park Dr
Suite 101
Kannapolis, NC 28081-8638
Phone (704) 938-6521

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Salisbury, NC, CCN 347325
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9700396NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Sep 1, 2007 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Cabarrus Family Medicine Past Accepting new patients
Carolinas Physicians Network, Inc Family Medicine Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

12016 Lemmond Farm Dr
#200
Charlotte, NC 28227
Phone (704) 863-0600

2090 S US 29 Hwy
China Grove, NC 28023
Phone (704) 403-6800

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

5641 Poplar Tent Rd
Ste 101
Concord, NC 28027
Phone (704) 782-1955

4949 Professional Park Dr
Ste 101
Kannapolis, NC 28081
Phone (704) 938-6521

8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911

Interoperability endpoints

  • Direct secure messaging: jshepherd128612@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1063400844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PROFESSIONAL PARK DR",
            "address_2": "STE 101",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280818637",
            "telephone_number": "704-938-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8560 Cook St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "NC",
            "postal_code": "281247686",
            "country_code": "US",
            "telephone_number": "704-436-6521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5641 Poplar Tent Rd",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280277533",
            "country_code": "US",
            "telephone_number": "704-782-1955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2090 S US 29 Hwy",
            "address_purpose": "LOCATION",
            "city": "China Grove",
            "state": "NC",
            "postal_code": "280238650",
            "country_code": "US",
            "telephone_number": "704-403-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Copperfield Blvd NE",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252441",
            "country_code": "US",
            "telephone_number": "704-786-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JAMES",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "9700396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshepherd128612@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "4949 Professional Park Dr",
            "address_2": "Ste 101",
            "city": "Kannapolis",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280818637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

Verify at the official NPI Registry.