Charles Edward Shipman, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11111 Issued in AL

Practice address

203 19TH Street East
Jasper, AL 35501-5457

Phone

(205) 384-3481

Fax

(205) 384-1057

NPI assigned

Jul 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Emergency Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Walker Home health agency, Jasper, AL, CCN 017327
• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Dr Bill Yates MD PC

  • General Practice Physician
  • Jasper, AL
  • NPI 1629276845
  Medicare reassignment NPD
• North Alabama Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1255378246
  NPD (past)
• North Alabama Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1205880135
  NPD (past)
• Southern Medical Group Inc

  • Emergency Medicine Physician
  • Jasper, AL
  • NPI 1265479455
  NPD (past)
• Southern Medical Group, Inc

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1194736009
  NPD (past)

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

• Amedisys Home Health of Alabama, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Jasper, AL
  • NPI 1427016997
  Care Compare affiliation
• BBH WBMC, LLC

  dba Baptist Health Walker Hospital

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1508898198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 19TH STREET EAST",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015457",
            "telephone_number": "205-384-3481",
            "fax_number": "205-384-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 19TH STREET EAST",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015457",
            "telephone_number": "205-384-3481",
            "fax_number": "205-384-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "11111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529302220",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Shadinger, PHARMD
• Mohammed Sharif
• Jennifer Shay, LMSW
• Teresa Hindman Sherer, PHARM. D.
• Rachel Leanna Shewbart, M.S., CCC-SLP
• Tyler Frederick Simmons, PA
• Andrea Dee Sims, O.D.
• Roy Lee Sims, MD
• Yuriy Skrubert, MD
• Whitney Sledge, CRNP

• General Practice Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.