Active NPI
James Brian Sheedy, MD
- Hematology & Oncology Physician
- Tallahassee, FL
National Provider Identifier
1093818536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME0024142
- Practice address
- 1300 Miccosukee Road
Palliative Care
Tallahassee, FL 32308 - Phone
- (850) 431-6868
- Fax
- (850) 431-6449
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ME0024142 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Road
Palliative Care
Tallahassee, FL 32308
Mailing address
1300 Miccosukee Road
Palliative Care
Tallahassee, FL 32308
Phone (850) 431-6868
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00297844A | Medicaid | GA | |
| 053683100 | Medicaid | FL | |
| 71391 | Other | FL | BCBS |
Other names 1
- J Brian Sheedy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0024142 | FL | MD | Hematology & Oncology Physician |
| 24142 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology Oncology Associates of Northwest Florida LLP | Hematology & Oncology | Current | Accepting new patients |
| Florida Department of Children and Families | Past | Accepting new patients |
Locations
1632 Riggins Rd
Tallahassee, FL 32308
Phone (850) 877-8166
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Tallahassee, FL
- NPI 1366566077
-
- Psychiatric Hospital
- Macclenny, FL
- NPI 1013931765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1093818536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE ROAD",
"address_2": "PALLIATIVE CARE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-431-6868",
"fax_number": "850-431-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE ROAD",
"address_2": "PALLIATIVE CARE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-431-6868",
"fax_number": "850-431-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEDY",
"first_name": "JAMES",
"middle_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME0024142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00297844A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053683100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "71391",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "SHEEDY",
"middle_name": "BRIAN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.