Individual provider Active NPI

Jehan Rahim Shah, MD

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1770158867
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2025-03545 Issued in NC
Practice address
7420 Market St
Wilmington, NC 28411-9453
Phone
(910) 662-6200
NPI assigned
May 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME167062 FL
Family Medicine Physician 207Q00000X 2025-03545 NC Primary

Addresses

Primary practice location

7420 Market St
Wilmington, NC 28411-9453

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (888) 588-9680

Other practice location 1

14011 Beach Blvd Ste 230
Jacksonville, FL 32250-1695
Phone (904) 992-1601

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshah1439580@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240620000123 FL Practitioner - Family Practice 9830591171 Reassigns benefits to 1 organization
I20260105001485 NC Practitioner - Family Practice 9830591171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1320 Roberts Dr
Suite 105a
Jacksonville Beach, FL 32250-3253
Phone (904) 202-4325

1370 13TH Ave S
Suite 216
Jacksonville Beach, FL 32250-3206
Phone (904) 247-7778

14011 Beach Blvd
Suite 400
Jacksonville, FL 32250-1842
Phone (904) 992-1601

1577 Roberts Dr
Suite 224
Jacksonville Beach, FL 32250-3265
Phone (904) 246-6940

1660 Prudential Dr
Suite 201
Jacksonville, FL 32207-8185
Phone (904) 202-4222

1660 Prudential Dr
Suite 310
Jacksonville, FL 32207-8197
Phone (904) 396-8656

1660 Prudential Dr
Suite 400
Jacksonville, FL 32207-8188
Phone (904) 396-0000

1960 S 16TH St
Wilmington, NC 28401-6676
Phone (910) 662-6000

3563 Phillips Hwy 101
Jacksonville, FL 32207

820 Prudential Dr
Suite 304
Jacksonville, FL 32207-8205
Phone (904) 202-3860

820 Prudential Dr
Suite 515
Jacksonville, FL 32207-8207
Phone (904) 396-4886

836 Prudential Dr
Suite 105a
Jacksonville, FL 32207-8300
Phone (904) 202-4325

900 Beach Blvd
Jacksonville Beach, FL 32250-4368
Phone (904) 249-0335

950 Marsh Landing Pkwy
Suite 105B
Jacksonville Beach, FL 32250-1408
Phone (904) 376-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-03545NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine Current Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Baptist Primary Care Inc. Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
NMG Health Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
New Hanover Medical Group PA Family Medicine Past Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

14011 Beach Blvd
Ste 230
Jacksonville Beach, FL 32250
Phone (904) 992-1601

7910 US Hwy 117 S
Rocky Point, NC 28457
Phone (910) 300-4320

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

7420 Market St
Wilmington, NC 28411
Phone (910) 662-6200

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

Interoperability endpoints

  • Direct secure messaging: jshah58635@baptisthealthsystemjacksonville.direct-ci.com
  • Direct secure messaging: jshah1439580@ehrdirect.mayoclinicmsg.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1770158867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "888-588-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119453",
            "telephone_number": "910-662-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14011 Beach Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322501695",
            "country_code": "US",
            "telephone_number": "904-992-1601",
            "fax_number": "904-390-7446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JEHAN",
        "middle_name": "RAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME167062",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2025-03545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshah1439580@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322241865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.