Individual provider Active NPI

James Robert Shaw, MD

  • Family Medicine Physician
  • Brevard, NC
National Provider Identifier
1457443079
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35197 Issued in NC
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
213592COtherNCMEDICARE PTAN
8975523MedicaidNC
NCM996BOtherNCMEDICARE PTAN
080084314OtherNCRAILROAD MEDICARE
75523OtherNCBLUE CROSS BLUE SHIELD
01-70577OtherNCUNITED HEALTHCARE
0637660001OtherNCPALMETTO GOVERNMENT SERVI
561852981FOtherNCCIGNA
NCM996AOtherNCMEDICARE PTAN
NCM996COtherNCMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamesshawmd@Direct.msj.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090917000257 NC Practitioner - Family Practice 6305866401
I20251007000218 ME Practitioner - Family Practice 6305866401 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Down East Community Hospital CurrentSince Oct 1, 2025 Accepting new patients
Down East Community Hospital CurrentSince Oct 1, 2025 Accepting new patients
Down East Community Hospital Current Accepting new patients
Down East Community Hospital CurrentSince Oct 1, 2025 Accepting new patients
Medical Associates of Transylvania PA Family Medicine PastSince Jan 1, 2005 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.