Healthcare Provider Details

I. General information

NPI: 1871406165
Provider Name (Legal Business Name): JOHN SHIPTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 NATIONAL GUARD RD
SALISBURY NC
28147-7948
US

IV. Provider business mailing address

3720 SIGNET DR
WINSTON SALEM NC
27101-2254
US

V. Phone/Fax

Practice location:
  • Phone: 336-830-0653
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP085307
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: