James Robert Shipley, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

519 Issued in NC

Practice address

367 S Andy Griffith Pkwy Ste 200
Mount Airy, NC 27030-4010

Phone

(336) 443-9190

Fax

(336) 745-5936

NPI assigned

Jan 3, 2007

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Instride Foot and Ankle Specialists, PLLCGroup PAC ID 7012168271, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: james.shipley@ifasp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Instride Foot and Ankle Specialists, PLLC

  • Primary Podiatric Medicine Podiatrist
  • Concord, NC
  • NPI 1457601601
  Medicare reassignment Care Compare group
• Mt Airy Foot and Ankle Center PLLC

  • Podiatric Clinic/Center
  • Mount Airy, NC
  • NPI 1598924599
  Authorized official Same address or phone

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1326195504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S ANDY GRIFFITH PKWY STE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304010",
            "telephone_number": "336-443-9190",
            "fax_number": "336-745-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 S ANDY GRIFFITH PKWY STE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304010",
            "telephone_number": "336-443-9190",
            "fax_number": "336-745-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "519",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCA058B699",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01459103",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326195504",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Catherine Scott, ATC
• Vivian Holder Seal, FNP
• Jay Richard Seidler, DO
• Sarah Austin Shelton, LCSW, LISW-CP
• Tammy Shenkman, PA
• Mark Shircliffe
• Shoes N Stuff Inc
• Brandon D Short, PHARMD, BS, RPH
• Antonio Sierra, D.P.M.
• Kristy L Silman, LMHC, LCMHC

• Foot & Ankle Surgery Podiatrist in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.