Individual provider Active NPI

John Isenhour Shoaf, PA-C

  • Physician Assistant
  • Statesville, NC
National Provider Identifier
1881606655
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104033 Issued in NC
Practice address
1425 Fern Creek Dr
Statesville, NC 28625-9376
Phone
(828) 459-6824
Fax
(828) 655-2344
NPI assigned
Aug 12, 2006
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 104033 NC Primary

Addresses

Primary practice location

1425 Fern Creek Dr
Statesville, NC 28625-9376

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (828) 459-6824

Other practice location 1

965 State Farm Rd
Boone, NC 28607
Phone (828) 264-2340

Other identifiers 1

IdentifierTypeStateIssuer
1881606655MedicaidNC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041018001247 NC Practitioner - Physician Assistant 5496715914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1425 Fern Creek Dr
Statesville, NC 28625-9376
Phone (828) 459-6824

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc CurrentSince Oct 27, 2025 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Oct 27, 2025 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Catawba Valley Medical Group Inc Past Accepting new patients
High Country Proactive Health, PLLC Past Accepting new patients

Locations

1501 Tate Blvd SE
Ste 202
Hickory, NC 28602
Phone (828) 485-2707

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: john.shoaf@cvmg.eclinicaldirectplus.com
  • Direct secure messaging: johnshoaf@arhs.allscriptsdirect.net
  • Direct secure messaging: jshoaf@blueridgeent.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1881606655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "828-459-6824",
            "fax_number": "828-655-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "828-459-6824",
            "fax_number": "828-655-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 State Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "28607",
            "country_code": "US",
            "telephone_number": "828-264-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOAF",
        "first_name": "JOHN",
        "middle_name": "ISENHOUR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881606655",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.