Jagdish Vallabhdas Shah, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17315 Issued in SC

Practice address

205 Piedmont Blvd
Rock Hill, SC 29732-1836

Phone

(704) 842-6467

Fax

(704) 854-4235

NPI assigned

Mar 24, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Carolina Dept of Mental Health Accounting Office

  dba Highway to Hope Tri-County Primary Care

  • Primary Care Nurse Practitioner
  • Bennettsville, SC
  • NPI 1295332690
  Medicare reassignment Care Compare group NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Santee-Wateree Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sumter, SC
  • NPI 1245279595
  NPD
• Amisub of South Carolina, Inc.

  dba Piedmont Medical Center

  • General Acute Care Hospital
  • Rock Hill, SC
  • NPI 1457382483
  NPD (past)
• Amisub of South Carolina, Inc.

  dba Piedmont Medical Center

  • Psychiatric Hospital Unit
  • Rock Hill, SC
  • NPI 1932134384
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  dba Anderson Oconee Pickens Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, SC
  • NPI 1508814625
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  dba Catawba Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Hill, SC
  • NPI 1568476885
  NPD (past)
• Carolina Center for Counseling & Clinical Services, Inc.

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1689752651
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356301360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 BAILEYWICK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772485",
            "telephone_number": "704-277-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PIEDMONT BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321836",
            "telephone_number": "704-842-6467",
            "fax_number": "704-854-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAGDISH",
        "middle_name": "VALLABHDAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "17315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Annette Settle, ATC, PT
• David L Seward, LPC, LPCS
• Sheldon Spencer Sewell, LPC, LPCS
• Birju Dipak Shah, D.O.
• Gaurang C Shah, MD
• Jugalkishor Keshavla Shah, M.D.
• Nemish Shah, DDS
• Tejaskumar M Shah
• Takenya Shannon
• Tatanasika Lavonne Shannon

• Psychiatry Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.