Peter Mathis Shell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200300881 Issued in NC

Practice address

1 Hospital Rd
Caller Box C-268
Cherokee, NC 28719-9253

Phone

(828) 497-9163

Fax

(828) 497-1723

NPI assigned

Nov 15, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348

  TX

  Medicare reassignment NPD
• Cherokee Indian Hospital Authority

  • Methadone Clinic
  • Cherokee, NC
  • NPI 1295336386
  NPD
• Cherokee Indian Hospital Authority

  • Ambulatory Surgical Clinic/Center
  • Cherokee, NC
  • NPI 1396119616
  NPD
• Cherokee Indian Hospital Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225100050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199253",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199253",
            "telephone_number": "828-497-9163",
            "fax_number": "828-497-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "PETER",
        "middle_name": "MATHIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200300881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "138XG",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225100050",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• School Specified
• Tsalidi Sequoyah, LCSWA
• Tiana Nykkole Serio, LCSW
• Randy Sexton, DO
• Mark Allen Sheffler, MD
• Mikaela Kirin Shuler, LCMHC-A
• Rebekah Simonds, BSN RN
• Kayla Elaine Sloan Parris, PA
• Steven Craig Smalley, RPH
• Amy D Smith

• Internal Medicine Physician in Cherokee, NC
• Providers in Cherokee, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.