Susanna M Shepard, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005161 Issued in NC

Practice address

2910 East Franklin Blvd #1
Gastonia, NC 28056-7225

Phone

(704) 648-0460

Fax

(855) 446-7146

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susanna M Byrd Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2006

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Centerwell Senior Primary Care NC PCGroup PAC ID 2264708486, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• Direct secure messaging: susanna.shepard@centerwell.eclinicaldirectplus.com
• Direct secure messaging: susanna.shepard.1@29601.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centerwell Senior Primary Care (NC) PC

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1073034625
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care NC JV PC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1366181943
  Medicare reassignment NPD
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  Medicare reassignment NPD
• Centerwell Senior Primary Care (NC) JV, P.C.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1477373991
  NPD
• Centerwell Senior Primary Care (NC), P.C.

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1497575997
  NPD
• Centerwell Senior Primary Care NC JV PC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1427773993
  NPD
• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gaston Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1003992058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EAST FRANKLIN BLVD #1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567225",
            "telephone_number": "704-648-0460",
            "fax_number": "855-446-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 EAST FRANKLIN BLVD #1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567225",
            "telephone_number": "704-648-0460",
            "fax_number": "855-446-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "SUSANNA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004977",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susanna.shepard.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2910 East Franklin Blvd #1",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280567225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "BYRD",
            "middle_name": "M",
            "credential": "NFP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ayodeji Shedu, MD, MPH
• Krystal Sheets, LPN
• Manish Vallabh Sheladia, D.M.D.
• Shenan Bradshaw DDS MD PA
• Samira Abhijit Shende, PA-C
• Shephards Hand Inc
• Erika Walker Shepherd, LCSWA
• Lashonda Shepherd, DDS
• Sonterria Alexis Sherer, LCSWA
• Michelle Lail Sherlin, MSW, LCSWA

• Family Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.