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SAMUEL SHEA MD
NPI 1750086740
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 31, 2023PECOS Enrolled
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4551(336) 716-9642 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samuel Shea Md NPPES

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

SAMUEL SHEA MD (NPI 1750086740) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750086740
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL SHEACredential: MD
Location AddressATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY, MEDICAL CENTER BLVDWinston Salem, NC 27157-1087
Mailing AddressAtrium Health Wake Forest Baptist Dept Of Psychiatry, Medical Center BlvdWinston Salem, NC 27157-1087 · (336) 716-4551 · Fax (336) 716-9642
Phone(336) 716-4551
Fax(336) 716-9642
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateApril 1, 2023
NPPES CertifiedApril 1, 2023
✔ NPI 1750086740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY, Winston Salem, NC 27157
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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)

Samuel Shea Md 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.

Other Providers at the Same Location NPPES 5

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

MAKENZIE RAE PRESLEY
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551
CHRISTOPHER JAMES PENLEY
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY, MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551
GEORGIA HUDSON O'LEARY
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY, MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551
CHRISTIAN NAJJAR
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551
ALEXIS PAIGE SMITH MD
Student in an Organized Health Care Education/Training Program
ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY, MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4551

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 Samuel Shea's NPI number?

The NPI number for Samuel Shea is 1750086740. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Samuel Shea located?

Samuel Shea practices at Atrium Health Wake Forest Baptist Dept Of Psychiatry Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-4551.

What is Samuel Shea's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Shea enrolled in Medicare?

Yes. Samuel Shea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Shea was last updated on April 1, 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.