Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Shires

Individual provider Physician Assistant · NPI 1063055473

John Shires is a Physician Assistant in Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2020, 6 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
University of South Carolina School of Medicine
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

109 Whispering Pines Cir
Columbia, SC 29205-4944
Phone: (770) 891-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9982 (GA)

Record details

NPI number1063055473
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2019
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

Other providers in Columbia