Individual provider Active NPI

James Shumate, D.O.

  • Family Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1649267220
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011-01866 Issued in NC
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 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

IdentifierTypeStateIssuer
5919640MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328001068 NC Practitioner - Family PracticePractitioner - General Surgery 0648283812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Surgery
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
Jacksonville Children's and Multispecialty Clinic, PAGroup PAC ID 6709968811, 21 clinicians

Practice addresses (Care Compare)

114 A Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-9688

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children's and Multispecialty Clinic, PA Family Medicine CurrentSince Jan 15, 2012 Accepting new patients
Amm Healthcare, PA Family Medicine CurrentSince May 22, 2022 Accepting new patients
Family Care Clinic, P.a. Family Medicine PastSince Jan 15, 2012 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.