James M Shipley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35197 Issued in TN

Practice address

1497 W Elk Ave
Suite 21
Elizabethton, TN 37643-2895

Phone

(423) 542-7420

Fax

(423) 542-7425

NPI assigned

May 11, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Family Practice

Education

East Tennessee State University Quillen College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice, Nashville, TN, CCN 441545
• Christian Care Center of Unicoi County Nursing home, Erwin, TN, CCN 445077
• Center on Aging and Health Nursing home, Erwin, TN, CCN 445424

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wellmont Medical Associates Inc

  • Pulmonary Disease Physician
  • Kingsport, TN
  • NPI 1780986257

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Emmaus Community Healthcare, PLLC

  • General Practice Physician
  • Piney Flats, TN
  • NPI 1356379093
  Medicare reassignment NPD
• Ipc Pac Healthcare Services of Tennessee PC

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1104277656
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  TN

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TN

  Medicare reassignment NPD
• Blue Ridge Medical Management Corporation

  • Urgent Care Clinic/Center
  • Elizabethton, TN
  • NPI 1144380833
  NPD
• Blue Ridge Medical Management Corporation

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1356472880
  NPD
• Blue Ridge Medical Management Corporation

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1982553756
  NPD
• Wellmont Medical Associates, Inc.

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1275393522
  NPD
• Wellmont Medical Associates, Inc.

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1558812198
  NPD
• Christian Care Center of Unicoi County LLC

  • Skilled Nursing Facility
  • Erwin, TN
  • NPI 1477037497
  NPD (past)
• Medical Education Assistance Corporation

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Center on Aging and Health LLC

  • Skilled Nursing Facility
  • Erwin, TN
  • NPI 1427040211

  Nursing home

  Care Compare affiliation
• Christian Care Center of Unicoi County LLC

  • Skilled Nursing Facility
  • Erwin, TN
  • NPI 1477037497

  Nursing home

  Care Compare affiliation
• Tnmo Healthcare, LLC

  • Community Based Hospice Care Agency
  • Nashville, TN
  • NPI 1407807688
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1912957937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 W ELK AVE",
            "address_2": "SUITE 21",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432895",
            "telephone_number": "423-542-7420",
            "fax_number": "423-542-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 W ELK AVE",
            "address_2": "SUITE 21",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432895",
            "telephone_number": "423-542-7420",
            "fax_number": "423-542-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "35197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003315",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912957937",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Ann Shepard, RN
• Amber L Shepherd, LPN
• Jonia Carol Shepherd, PTA
• Sheila M Shepherd, FNP
• Martha Hawkins Sherrill, PH.D., CCC-SLP
• Silver Angels of Tennessee - Carter, LLC
• Rebecca Diann Simmons, FNP
• Amber Leanne Simon, BS
• Sukhvir Singh, DO
• Joseph Skelton

• Family Medicine Physician in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.