Active NPI
John J Shea
- Driver
- Hilton Head Island, SC
National Provider Identifier
1174284228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 2 Lighthouse LN Ste 919
Hilton Head Island, SC 29928-2941 - Phone
- (843) 592-2868
- NPI assigned
- Dec 31, 2021
- Last updated
- Feb 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Adult Companion | 372600000X | |||
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
2 Lighthouse LN Ste 919
Hilton Head Island, SC 29928-2941
Mailing address
2 Lighthouse LN Ste 919
Hilton Head Island, SC 29928-2941
Phone (843) 592-2868
Other practice location 1
2028 Longview Dr
Georgetown, KY 40324-9428
Phone (843) 592-2868
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jjps@hargray.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1174284228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LIGHTHOUSE LN STE 919",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299282941",
"telephone_number": "843-592-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LIGHTHOUSE LN STE 919",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299282941",
"telephone_number": "843-592-2868"
}
],
"practiceLocations": [
{
"address_1": "2028 Longview Dr",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249428",
"country_code": "US",
"telephone_number": "843-592-2868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEA",
"first_name": "JOHN",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-31",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jjps@hargray.com",
"affiliation": "N",
"address_1": "2028 Longview Dr",
"city": "Georgetown",
"state": "KY",
"country_code": "US",
"postal_code": "403249428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hilton Head Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.