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JOHN SHANGKYUN SHIN M.D.
NPI 1396950309
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sanford, NC

Active since May 12, 2007PECOS EnrolledAccepts Medicare Assignment
319 COURT SQ, SANFORD, NC 27330(919) 292-1464(919) 292-1471 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Shangkyun Shin M.d. NPPES

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

JOHN SHANGKYUN SHIN M.D. (NPI 1396950309) is an individual child & adolescent psychiatry provider in Sanford, North Carolina, licensed in North Carolina (200100279) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1396950309
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJOHN SHANGKYUN SHINCredential: M.D.
Location Address319 COURT SQSanford, NC 27330-5658
Mailing Address319 Court SqSanford, NC 27330-5658 · (919) 292-1464 · Fax (919) 292-1471
Phone(919) 292-1464
Fax(919) 292-1471
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateMay 12, 2007
Last NPPES UpdateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1396950309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NC · 200100279
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
319 COURT SQ, Sanford, NC 27330
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Shangkyun Shin M.d. 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 ID244456499
PECOS Enrollment IDI20140723001747
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.

Areas of Expertise CMS Part B claims 2

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.
123 services25 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
116 services24 patients

Other Providers at the Same Location NPPES 9

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

SWANZETTA J. STEVENSON,LCSW,PLLC
Community/Behavioral Health
319 COURT SQ
SANFORD, NC 27330
Lee County (252) 548-1510
BRITTON PAULL NOEL LCMHC, LCAS
Counselor (Mental Health)
319 COURT SQ
SANFORD, NC 27330
Lee County (919) 292-1464
ELIZABETH MCGEE MARTIN PHD PLLC
Psychologist (Clinical)
319 COURT SQ
SANFORD, NC 27330
Lee County (919) 802-8828
LAURIE CONATY, LCSW, PA
Social Worker (Clinical)
319 COURT SQ
SANFORD, NC 27330
Lee County (919) 292-1464
MICHELLE F. MOSELEY, LPC, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
319 COURT SQ
SANFORD, NC 27330
Lee County (919) 292-1464
TRANQUIL HARBOR FAMILY THERAPY, JESSICA BOOTH, PLLC
Marriage & Family Therapist
319 COURT SQ
SANFORD, NC 27330
Lee County (919) 498-4556
MICHELLE F MOSELEY MS, LPC, NCC
Counselor (Mental Health)
319 COURT SQ
SANFORD, NC 27330
Lee County (919) 292-1464
NICOLE LEE DAVIS, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
319 COURT SQ
SANFORD, NC 27330
Lee County (336) 501-6665

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 John Shin's NPI number?

The NPI number for John Shin is 1396950309. It was assigned to this individual provider in the NPPES registry on May 12, 2007.

Where is John Shin located?

John Shin practices at 319 Court Sq, Sanford, NC 27330. The listed phone number is (919) 292-1464.

What is John Shin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is John Shin enrolled in Medicare?

Yes. John Shin 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.

What insurance does John Shin accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list John Shin 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 John Shin was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.