Individual provider Active NPI

Joshua Heath Shehan, PA-C

  • Medical Physician Assistant
  • Fort Stewart, GA
National Provider Identifier
1770678534
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
N/A; MILITARY
Practice address
1061 Harmon Ave Ste 1D03
Winn Army Community Hospital
Fort Stewart, GA 31314-7324
Phone
(912) 315-2416
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X N/A; MILITARY Primary

Addresses

Primary practice location

1061 Harmon Ave Ste 1D03
Winn Army Community Hospital
Fort Stewart, GA 31314-7324

Mailing address

1061 Harmon Ave. Ste 1D03
Winn Army Community Hospital
Fort Stewart, GA 31314-5674
Phone (912) 315-2416

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219002570 FL Practitioner - Physician Assistant 6406194380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Sacred Heart LLCGroup PAC ID 5395995427, 6 clinicians

Practice addresses (Care Compare)

5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 202-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1770678534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE. STE 1D03",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-315-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE STE 1D03",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313147324",
            "telephone_number": "912-315-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHAN",
        "first_name": "JOSHUA",
        "middle_name": "HEATH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "N/A; MILITARY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.