JAMES G SHIELDS JR. MD
NPI 1295788529
Anesthesiology - Pain Medicine in Fernandina Beach, FL

Q: What is James Shields's NPI number?

The NPI number for James Shields is 1295788529. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is James Shields's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for James Shields was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

97.4/100

CMS Quality Rating

1865 LIME ST STE 101, FERNANDINA BEACH, FL 32034(904) 321-2422(904) 321-2434 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2022, Mar 17, 2018, Jan 9, 2018 (3 updates tracked since 2018).

On this page

About James G Shields Jr. Md NPPES

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

JAMES G SHIELDS JR. MD (NPI 1295788529) is an individual pain medicine provider in Fernandina Beach, Florida, licensed in Florida (ME134552) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Mississippi School Of Medicine (1982).

NPPES Registry Identity

NPI1295788529

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameJAMES G SHIELDS JR.Credential: MD

Location Address1865 LIME ST STE 101Fernandina Beach, FL 32034-4779

Mailing Address705 Wells Rd Ste 300Orange Park, FL 32073-2982 · (904) 282-6331 · Fax (904) 212-1351

Phone(904) 321-2422

Fax(904) 321-2434

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1982

Enumeration DateMay 18, 2006

Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1295788529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Licenses✔ Licensed in FL · ME134552✔ Licensed in GA · 027911

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 27911 (GA)

1865 LIME ST STE 101, Fernandina Beach, FL 32034

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12700 Riverside Ave Ste 2Jacksonville, FL 32205-8233 · Phone (904) 265-7020 · Fax (904) 212-0952

Location 2309 Arnow DrSaint Marys, GA 31558-3176 · Phone (912) 439-3500 · Fax (912) 439-3528

Other Identifiers 2

OtherJF010ZMedicare

Medicaid023177600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.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

James G Shields Jr. 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.

PECOS PAC ID3678596582

PECOS Enrollment IDI20060111000184, I20180108000291

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.

Medicare Billing Reassignment

Medicare enrollment records show James Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physicians Group Services PA

30 mi

Physical Medicine & Rehabilitation

8262 POINT MEADOWS DR STE 202
Jacksonville, FL 32256

Reassigned Medicare billing, Florida and Georgia enrollments
Also billed through NPI 1861440810 (Georgia)
136 clinicians in this Medicare group

NPI 1700522299 (904) 265-4310

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

206 services180 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

140 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

82 services73 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

42 services39 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

33 services31 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

26 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

18 services15 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

16 services16 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

16 services16 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

13 services12 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

13 services12 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.67

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%738 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%454 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

51%192 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

63%178 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%199 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

99%199 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%5,458 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%1,257 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%2,163 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%1,973 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%4,612 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 33% · 2,026 patients

Patients screened: 38% · 2,026 patients

24%123 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%361 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 1,306 patients

Patients totalRate: 22% · 1,319 patients

21%1,319 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J BRYANT PA-C

Physician Assistant

1865 LIME ST STE 101
FERNANDINA BEACH, FL 32034

Nassau County (904) 634-0640

MR. BRYAN KEITH RAWLINSON P.A.

Physician Assistant

1865 LIME ST STE 101
FERNANDINA BEACH, FL 32034

Nassau County (904) 321-2422

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 Shields's NPI number?

The NPI number for James Shields is 1295788529. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is James Shields located?

James Shields practices at 1865 Lime St Ste 101, Fernandina Beach, FL 32034. The listed phone number is (904) 321-2422.

What is James Shields's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is James Shields enrolled in Medicare?

Yes. James Shields 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 organization bills Medicare for James Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Shields reassigns Medicare benefits to Physicians Group Services PA (Jacksonville, FL). The 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 Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Shields accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list James Shields 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 Shields was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.