Active NPI
James Robert Shaw, MD
- Family Medicine Physician
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35197
- Practice address
- 377 Gallimore Rd
Brevard
Brevard, NC 28712-8874 - Phone
- (828) 884-9030
- Fax
- (828) 884-3563
- NPI assigned
- Sep 29, 2006
- Last updated
- Feb 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35197 | NC | Primary |
Addresses
Primary practice location
377 Gallimore Rd
Brevard
Brevard, NC 28712-8874
Mailing address
PO Box 602373
Charlotte
Charlotte, NC 28260-2373
Phone (828) 213-1500
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213592C | Other | NC | MEDICARE PTAN |
| 8975523 | Medicaid | NC | |
| NCM996B | Other | NC | MEDICARE PTAN |
| 080084314 | Other | NC | RAILROAD MEDICARE |
| 75523 | Other | NC | BLUE CROSS BLUE SHIELD |
| 01-70577 | Other | NC | UNITED HEALTHCARE |
| 0637660001 | Other | NC | PALMETTO GOVERNMENT SERVI |
| 561852981F | Other | NC | CIGNA |
| NCM996A | Other | NC | MEDICARE PTAN |
| NCM996C | Other | NC | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamesshawmd@Direct.msj.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Hospital Dr
Machias, ME 04654-3325
11 Hospital Dr
Machais, ME 04654-3606
13 Maverick St
Rockland, ME 04841-3402
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Community Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Medical Associates of Transylvania PA | Family Medicine | Past | Accepting new patients |
| Down East Community Hospital | Family Medicine | Past | Accepting new patients |
Locations
1031 Main St
East Machias, ME 04630
Phone (207) 255-0434
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
- jamesshawmd@direct.msj.org
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
-
- General Acute Care Hospital
- Machias, ME
- NPI 1689670242
-
- Medicare Defined Swing Bed Hospital Unit
- Machias, ME
- NPI 1336587542
-
dba DECH Family Practic
- Multi-Specialty Clinic/Center
- Calais, ME
- NPI 1972015774
-
- Family Medicine Physician
- Brevard, NC
- NPI 1790877306
-
dba Milbridge Medical Center
- Family Medicine Physician
- Milbridge, ME
- NPI 1851397475
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1457443079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602373",
"address_2": "CHARLOTTE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602373",
"telephone_number": "828-213-1500",
"fax_number": "828-651-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 GALLIMORE RD",
"address_2": "BREVARD",
"city": "BREVARD",
"state": "NC",
"postal_code": "287128874",
"telephone_number": "828-884-9030",
"fax_number": "828-884-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "35197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "213592C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8975523",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NCM996B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080084314",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "75523",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01-70577",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GOVERNMENT SERVI",
"identifier": "0637660001",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "561852981F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NCM996A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NCM996C",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamesshawmd@Direct.msj.org",
"affiliation": "N",
"address_1": "377 Gallimore Rd",
"address_2": "BREVARD",
"city": "Brevard",
"state": "NC",
"country_code": "US",
"postal_code": "287128874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.