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MR. JERRY SHIPMAN PA
NPI 1275545584
Physician Assistant in Goldsboro, NC

Active since August 13, 2006PECOS Enrolled
201 STEVENS MILL RD, GOLDSBORO, NC 27530(919) 731-3206 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry Shipman Pa NPPES

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

MR. JERRY SHIPMAN PA (NPI 1275545584) is an individual physician assistant in Goldsboro, North Carolina, licensed in North Carolina (101242) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275545584
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JERRY SHIPMANCredential: PA
Location Address201 STEVENS MILL RDGoldsboro, NC 27530-1056
Mailing Address102 N Marion DrGoldsboro, NC 27534-7612 · (919) 751-9309
Phone(919) 731-3206
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275545584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 101242
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
201 STEVENS MILL RD, Goldsboro, NC 27530
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerry Shipman Pa 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 27530 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. ULRIKE MATTERN MA LPA
Psychologist
201 STEVENS MILL RD, CHERRY HOSPITAL
GOLDSBORO, NC 27530
Wayne County (919) 731-3200
DR. CAROLYN R. COOK PH.D.
Psychologist
201 STEVENS MILL RD
GOLDSBORO, NC 27530
Wayne County (919) 580-2884
DR. MUTHAIYA PILLAI KRISHNARAJ M.D.
Psychiatry & Neurology (Psychiatry)
201 STEVENS MILL RD
GOLDSBORO, NC 27530
Wayne County (919) 731-3470
LISA B SMITH COTA/L
Occupational Therapy Assistant
201 STEVENS MILL RD
GOLDSBORO, NC 27530
Wayne County (919) 731-3432
DR. STEVEN D PETERS PSY.D
Psychologist (Clinical)
201 STEVENS MILL RD
GOLDSBORO, NC 27530
Wayne County (919) 731-3538
DR. DANIEL KUCZUN NELSON PSY.D.
Psychologist
201 STEVENS MILL RD
GOLDSBORO, NC 27530
Wayne County (919) 580-2881
DR. KULIAKANDA M CHENGAPPA M.D.
Psychiatry & Neurology (Psychiatry)
201 STEVENS MILL RD
GOLDSBORO, NC 27530
Wayne County (919) 731-3420
JAMES IRVIN BUTLER
Psychologist (Clinical)
201 STEVENS MILL RD
GOLDSBORO, NC 27530
Wayne County (919) 731-3738

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 Jerry Shipman's NPI number?

The NPI number for Jerry Shipman is 1275545584. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Jerry Shipman located?

Jerry Shipman practices at 201 Stevens Mill Rd, Goldsboro, NC 27530. The listed phone number is (919) 731-3206.

What is Jerry Shipman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jerry Shipman enrolled in Medicare?

Yes. Jerry Shipman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Shipman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.