SHAUNDREAL DESERE'E JAMISON M.D.
NPI 1245677111
Pediatrics in Greenville, NC

Q: What is Shaundreal Jamison's NPI number?

The NPI number for Shaundreal Jamison is 1245677111. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Q: What is Shaundreal Jamison's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 31, 2013PECOS Enrolled

517 MOYE BLVD, GREENVILLE, NC 27834(252) 744-2335(252) 744-5035 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Dec 11, 2020, Jun 18, 2019 and 1 more (4 updates tracked since 2018).

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About Shaundreal Desere'e Jamison M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUNDREAL DESERE'E JAMISON M.D. (NPI 1245677111) is an individual pediatrics provider in Greenville, North Carolina, licensed in North Carolina (2016-01611) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245677111

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHAUNDREAL DESERE'E JAMISONCredential: M.D.

Location Address517 MOYE BLVDGreenville, NC 27834-2849

Mailing AddressPo Box 751069Charlotte, NC 28275-1069

Phone(252) 744-2335

Fax(252) 744-5035

Sole ProprietorNo

Enumeration DateMay 31, 2013

Last NPPES UpdateFebruary 2, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1245677111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NC · 2016-01611✔ Licensed in SC · LL35737

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

517 MOYE BLVD, Greenville, NC 27834

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Other Identifiers 3

Medicaid1245677111NC

OtherNN20700322NC · Medicare

Other19XAZNC · Bcbs Of Nc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaundreal Desere'e Jamison M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

HEIDI KENEFICK DO

Pediatrics