Jeremy Shifflett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110005087 Issued in VA

Practice address

133 Enterprise Dr
Danville, VA 24540-4071

Phone

(434) 792-2907

NPI assigned

Oct 1, 2015

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 VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Access to Health Services Inc 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sovah Health Danville Hospital, Danville, VA, CCN 490075

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.shifflett@paths.eclinicaldirectplus.com

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.

• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1114630662

  VA

  Medicare reassignment Care Compare group NPD
• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • South Boston, VA
  • NPI 1235677634

  VA

  Medicare reassignment Care Compare group NPD
• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1649240698

  VA

  Medicare reassignment Care Compare group
• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Williamsburg, VA
  • NPI 1205350584

  VA

  Medicare reassignment NPD
• Piedmont Access to Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Chatham, VA
  • NPI 1558545269
  Care Compare group NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070

  VA

  Medicare reassignment
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  VA

  Medicare reassignment
• Piedmont Access to Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1578696910
  Care Compare group NPD (past)
• Piedmont Access to Health Services Inc

  • Community/Retail Pharmacy
  • Danville, VA
  • NPI 1982319745
  Care Compare group
• Piedmont Access to Health Services, Inc

  • Community/Retail Pharmacy
  • Boydton, VA
  • NPI 1164896551
  Care Compare group
• Piedmont Access to Health Services, Inc

  • Pharmacy
  • Danville, VA
  • NPI 1275834848
  Care Compare group
• Piedmont Access to Health Services, Inc

  • Community/Retail Pharmacy
  • Chatham, VA
  • NPI 1306448170
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Danville Regional Medical Center LLC

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1386720183

  Hospital

  Care Compare affiliation
• Danville Regional Medical Center, LLC

  • Rural Acute Care Hospital
  • Danville, VA
  • NPI 1154419737

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1356711535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245413600",
            "telephone_number": "570-360-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ENTERPRISE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404071",
            "telephone_number": "434-792-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFLETT",
        "first_name": "JEREMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Danville, VA
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.