DR. JAMES RYAN SHEA MD
NPI 1174885719
Pediatrics in Chapel Hill, NC
About Dr. James Ryan Shea Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES RYAN SHEA MD (NPI 1174885719) is an individual pediatrics provider in Chapel Hill, North Carolina, licensed in South Carolina (MMD.34613 LL) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of East Tennessee State University Quillen College Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Ryan Shea Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show James Shea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chapel Hill, NC 27514
- Reassigned Medicare billing, North Carolina enrollment
- 2,797 clinicians in this Medicare group
Rocky Mount, NC 27804
- Reassigned Medicare billing, North Carolina enrollment
- 205 clinicians in this Medicare group
Mt Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Shea's NPI number?
The NPI number for James Shea is 1174885719. It was assigned to this individual provider in the NPPES registry on June 11, 2012.
Where is James Shea located?
James Shea practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (984) 974-4601.
What is James Shea's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is James Shea enrolled in Medicare?
Yes. James Shea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for James Shea's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Shea reassigns Medicare benefits to 3 organizations: University Of North Carolina At Chapel Hill (Chapel Hill, NC), Nhcs Physicians Inc (Rocky Mount, NC) and University Medical Associates (Mt Pleasant, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Shea accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list James Shea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for James Shea was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. James Ryan Shea, MD · NPI 1174885719
Pediatrics physician in Chapel Hill, North Carolina. Individual provider, active in the CMS NPPES registry since June 11, 2012.
## Identity
- **NPI:** 1174885719 (Entity type: Individual)
- **Enumerated:** June 11, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MMD.34613 LL (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 MANNING DR, Chapel Hill, NC 27514-4220
- **Phone:** (984) 974-4601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of North Carolina At Chapel Hill (NPI 1780669200, Chapel Hill, NC); Nhcs Physicians Inc (NPI 1003028630, Rocky Mount, NC); University Medical Associates (NPI 1437176039, Mt Pleasant, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** East Tennessee State University Quillen College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** March 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174885719) · Data from the CMS NPPES public registry.