Active NPI
James Shumate, D.O.
- Family Medicine Physician
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011-01866
- Practice address
- 114 Memorial Dr Ste C
Jacksonville, NC 28546-6328 - Phone
- (910) 353-9688
- Fax
- (910) 353-7498
- NPI assigned
- Sep 29, 2005
- Last updated
- Nov 6, 2023
- 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 | 2011-01866 | NC | Primary |
Addresses
Primary practice location
114 Memorial Dr Ste C
Jacksonville, NC 28546-6328
Mailing address
PO Box 986513
Department 100
Boston, MA 02298-6513
Phone (910) 219-8326
Other practice location 1
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581
Other practice location 2
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581
Other practice location 3
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581
Other practice location 4
1106 Main Street Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581
Other practice location 5
107 S Wilmington St
Richlands, NC 28574-8298
Phone (910) 324-7268
Other practice location 6
108 Lakeside Dr
Sneads Ferry, NC 28460-9415
Phone (910) 327-5437
Other practice location 7
5710 Oleander Dr Ste 200
Wilmington, NC 28403-4722
Phone (910) 799-1810
Other practice location 8
114A Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5919640 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
114 A Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-9688
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Children's and Multispecialty Clinic, PA | Family Medicine | Current | Accepting new patients |
| Amm Healthcare, PA | Family Medicine | Current | Accepting new patients |
| Family Care Clinic, P.a. | Family Medicine | Past | Accepting new patients |
Locations
114A Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0700
114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976
118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
107 S Wilmington St
Richlands, NC 28574
Phone (910) 324-7268
108 Lakeside Dr
Sneads Ferry, NC 28460
Phone (910) 327-5437
1106 Main Street Ext
Swansboro, NC 28584
Phone (910) 325-0581
5710 Oleander Dr
Ste 200
Wilmington, NC 28403
Phone (910) 799-1810
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1164519070
-
- Family Medicine Physician
- Cary, NC
- NPI 1528639689
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
dba CenterWell Home Health
- Home Health Agency
- Pollocksville, NC
- NPI 1043243835
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1649267220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986513",
"address_2": "DEPARTMENT 100",
"city": "BOSTON",
"state": "MA",
"postal_code": "022986513",
"telephone_number": "910-219-8326",
"fax_number": "910-939-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MEMORIAL DR STE C",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466328",
"telephone_number": "910-353-9688",
"fax_number": "910-353-7498"
}
],
"practiceLocations": [
{
"address_1": "120 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466328",
"country_code": "US",
"telephone_number": "910-353-0581",
"fax_number": "910-353-1351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466328",
"country_code": "US",
"telephone_number": "910-353-0581",
"fax_number": "910-353-1351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466328",
"country_code": "US",
"telephone_number": "910-353-0581",
"fax_number": "910-577-1150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1106 Main Street Ext",
"address_purpose": "LOCATION",
"city": "Swansboro",
"state": "NC",
"postal_code": "285849114",
"country_code": "US",
"telephone_number": "910-325-0581",
"fax_number": "910-325-0582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 S Wilmington St",
"address_purpose": "LOCATION",
"city": "Richlands",
"state": "NC",
"postal_code": "285748298",
"country_code": "US",
"telephone_number": "910-324-7268",
"fax_number": "910-324-7273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 Lakeside Dr",
"address_purpose": "LOCATION",
"city": "Sneads Ferry",
"state": "NC",
"postal_code": "284609415",
"country_code": "US",
"telephone_number": "910-327-5437",
"fax_number": "910-327-5436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5710 Oleander Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284034722",
"country_code": "US",
"telephone_number": "910-799-1810",
"fax_number": "910-799-9644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114A Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466328",
"country_code": "US",
"telephone_number": "910-353-0700",
"fax_number": "910-353-5305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUMATE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2011-01866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5919640",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.