James William Shaffer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-01674 Issued in NC

Practice address

6322 Fayetteville Rd
Raeford, NC 28376-7979

Phone

(910) 878-6700

Fax

(910) 878-6705

NPI assigned

Mar 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1063653251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843056",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843056",
            "telephone_number": "910-878-6700",
            "fax_number": "910-878-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767979",
            "telephone_number": "910-878-6700",
            "fax_number": "910-878-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakhya Scriven
• Brianna Seals
• Self Centered LLC
• Serenity Therapeutic Services, LLC
• Kathy Sanders Settle, FNP
• Sharper Images of Fayetteville, Inc
• Nykichia Shamon Shaw, WHNP-BC
• Phyllis Anita Shaw
• Kantrell Deshawn Shelton, LCAS
• William Francis Shilkitus, PAC

• Medical Physician Assistant in Raeford, NC
• Providers in Raeford, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.