Julius Chamberlain Shayo, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5012851 Issued in NC

Practice address

7161 Rex Rd
Holly Springs, NC 27540-6457

Phone

(763) 222-6096

NPI assigned

Nov 21, 2019

Last updated

Feb 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Blumenthal Operator LLC

  dba Blumenthal Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Greensboro, NC
  • NPI 1417708652

  Corporate Officer

  CMS ownership
• King Operator LLC

  dba King Health and Rehabilitation Center

  • Skilled Nursing Facility
  • King, NC
  • NPI 1790536951

  Managing Control - Governing Body

  CMS ownership
• Litchford Operator LLC

  dba Litchford Falls Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Raleigh, NC
  • NPI 1740031905

  Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Oxford Operator LLC

  dba Oxford Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Oxford, NC
  • NPI 1790536969

  Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

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.

• Comprehensive Care Services

  • General Practice Physician
  • Raleigh, NC
  • NPI 1639933120
  Medicare reassignment Authorized official
• M Medical NC PLLC

  • Internal Medicine Physician
  • Lexington, NC
  • NPI 1770337412
  Medicare reassignment NPD
• Triangle Geriatric and Memory Clinic, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Raleigh, NC
  • NPI 1427487099
  Medicare reassignment
• Litchford Operator LLC

  dba Litchford Falls Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Raleigh, NC
  • NPI 1740031905
  NPD
• Capital Primary Care

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1699558742
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1750927018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 REX RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406457",
            "telephone_number": "763-222-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7161 REX RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406457",
            "telephone_number": "763-222-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYO",
        "first_name": "JULIUS",
        "middle_name": "CHAMBERLAIN",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5012851",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "RN256265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Searl
• Patricia Alice Sebas, MD
• Senior Moments Consulting, LLC
• Nicole Sgherza
• Suraj Pravin Shah, M.D
• Timothy Sheridan, OT/L
• Natalie Hope Sigler, MSW
• Kimberly Betts Sigman, MD
• Adrienne Theresa Simes
• Erin O. Simile, LMFT, CFLE

• Primary Care Nurse Practitioner in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.