Individual provider Active NPI

John Palmer David Shemo, MD

  • Addiction Psychiatry Physician
  • Charlottesville, VA
National Provider Identifier
1194754739
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
0101031015 Issued in VA
Practice address
2496 Old Ivy Road
Suite 400 Psychiatric Alliance of the Blue Ridge
Charlottesville, VA 22903-4895
Phone
(434) 984-6777
Fax
(434) 296-1412
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101031015 VA
Addiction Psychiatry Physician 2084P0802X 0101031015 VA Primary
Geriatric Psychiatry Physician 2084P0805X 0101031015 VA

Addresses

Primary practice location

2496 Old Ivy Road
Suite 400 Psychiatric Alliance of the Blue Ridge
Charlottesville, VA 22903-4895

Mailing address

2496 Old Ivy Road
Suite 400 Psychiatric Alliance of the Blue Ridge
Charlottesville, VA 22903-4895
Phone (434) 984-6777

Other identifiers 1

IdentifierTypeStateIssuer
054767OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110218000202 VA Practitioner - PsychiatryPractitioner - Other (Physician)Practitioner - Internal MedicinePractitioner - Geriatric Psychiatry 9931272689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry, Internal Medicine
Education
West Virginia University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1228 Cedars CT
Suite 103
Charlottesville, VA 22903-4801
Phone (434) 984-6777

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Alliance of the Blue Ridge Psychiatry CurrentSince Nov 1, 1988 Accepting new patients

Locations

2496 Old Ivy Rd
Ste 400
Charlottesvle, VA 22903
Phone (434) 984-6777

1228 Cedars Ct
Ste 103
Charlottesvle, VA 22903
Phone (434) 984-6777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194754739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 OLD IVY ROAD",
            "address_2": "SUITE 400 PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034895",
            "telephone_number": "434-984-6777",
            "fax_number": "434-296-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 OLD IVY ROAD",
            "address_2": "SUITE 400 PSYCHIATRIC ALLIANCE OF THE BLUE RIDGE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034895",
            "telephone_number": "434-984-6777",
            "fax_number": "434-296-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMO",
        "first_name": "JOHN",
        "middle_name": "PALMER DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101031015",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "VA",
            "license": "0101031015",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "VA",
            "license": "0101031015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "054767",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.