Josh R Shufelt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00310 Issued in MS

Practice address

3000 Old Canton Rd
Suite 305
Jackson, MS 39216-4200

Phone

(601) 981-1550

Fax

(601) 981-0804

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A.Terrel Williams, MD, PLLCGroup PAC ID 6800888611, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.6 of 100Reported as group

Quality

99.19

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• A.Terrel Williams, MD, PLLC

  • Specialist
  • Jackson, MS
  • NPI 1386861649
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1821535113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD",
            "address_2": "SUITE 305",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164200",
            "telephone_number": "601-981-1550",
            "fax_number": "601-981-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD",
            "address_2": "SUITE 305",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164200",
            "telephone_number": "601-981-1550",
            "fax_number": "601-981-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFELT",
        "first_name": "JOSH",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn May Shows, CRNA
• Neal Ira Shparago, D.O.
• Margaret Shrader, DPT
• Ramesh Shrestha, MD
• David Shrock, PA-C
• Mrinal Shukla, M.D.
• Gretchen S. Shull, ANP
• Grace G Shumaker, M.D.
• Michael Garret Shumaker, PSY.D.
• Amy Lee Shute, LCSW

• Medical Physician Assistant in Jackson, MS
• Providers in Jackson, MS by specialty
• Medical Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.