Individual provider Active NPI

Ginger Shupe, M.D.

  • Psychiatry Physician
  • South Miami, FL
National Provider Identifier
1689931115
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME150865 Issued in FL
Practice address
6140 SW 70TH St FL 2
South Miami, FL 33143-3419
Phone
(305) 284-7524
NPI assigned
Apr 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME150865 FL Primary

Addresses

Primary practice location

6140 SW 70TH St FL 2
South Miami, FL 33143-3419

Mailing address

6140 SW 70TH St FL 2
South Miami, FL 33143-3419
Phone (305) 284-7524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220205000190 FL Practitioner - Psychiatry 7416340948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Multispecialty Medical Services LLCGroup PAC ID 1850558842, 11 clinicians

Practice addresses (Care Compare)

5996 SW 70TH St
South Miami, FL 33143-3540

7031 SW 62 Ave
South Miami, FL 33143-4701
Phone (305) 284-7700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Multispecialty Medical Services LLC CurrentSince Oct 29, 2021 Accepting new patients
Guidance/Care Center, Inc. CurrentSince Feb 24, 2022 Accepting new patients
Guidance/Care Center, Inc. CurrentSince Feb 24, 2022 Accepting new patients
Anchored Mental and Physical Wellness, LLC Psychiatry Current Accepting new patients

Locations

1205 4th St
Key West, FL 33040
Phone (305) 292-6723

3000 41st Street Ocean
Marathon, FL 33050
Phone (305) 434-9000

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

6140 SW 70th St
#2
South Miami, FL 33143
Phone (305) 284-7577

5996 SW 70th St
Fl 3
South Miami, FL 33143

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1689931115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST FL 2",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "305-284-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST FL 2",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "305-284-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "GINGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-22",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME150865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.