JACK P. SHEPHERD MD
NPI 1952353781
Family Medicine in Charlotte, NC

Q: What is Jack Shepherd's NPI number?

The NPI number for Jack Shepherd is 1952353781. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Jack Shepherd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Shepherd was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 17, 2006

330 BILLINGSLEY RD STE 101, CHARLOTTE, NC 28211(704) 316-2333(704) 316-2334 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2021, Oct 25, 2020 (2 updates tracked since 2020).

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About Jack P. Shepherd Md NPPES

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

JACK P. SHEPHERD MD (NPI 1952353781) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (200201174) and active in the NPI registry since May 2006. He maintains a secondary practice location in Matthews.

NPPES Registry Identity

NPI1952353781

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACK P. SHEPHERDCredential: MD

Location Address330 BILLINGSLEY RD STE 101Charlotte, NC 28211-5020

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-2333

Fax(704) 316-2334

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration

NPPES CertifiedAugust 19, 2021

✔ NPI 1952353781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 200201174

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

330 BILLINGSLEY RD STE 101, Charlotte, NC 28211

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Secondary Practice Location 1

Location 11450 Matthews Township Pkwy, Suite 170Matthews, NC 28105-2387 · Phone (704) 384-8441 · Fax (704) 384-8442

Other Identifiers 2

Medicaid89132W1NC

MedicaidN01174SC

Accepted Insurance

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

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

67%24 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

60%40 patients3/55-star benchmark: 100%

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

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

37%51 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

41%22 patients2/55-star benchmark: 98%

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 5

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

MRS. AMY ELIZABETH MCEVOY PNP-PC

Nurse Practitioner (Pediatrics)