Individual provider Active NPI

Chen Shi, MD

  • Neurological Surgery Physician
  • Gastonia, NC
National Provider Identifier
1013303049
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2023-01310 Issued in NC
Practice address
811 Cox Rd
Gastonia, NC 28054-3453
Phone
(704) 272-3578
Fax
(704) 272-3579
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 90669 SC
Neurological Surgery Physician 207T00000X 2023-01310 NC Primary

Addresses

Primary practice location

811 Cox Rd
Gastonia, NC 28054-3453

Mailing address

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chen.shi.p1@direct.cnsa.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231004002240 NC Practitioner - Neurosurgery 3072968478 Reassigns benefits to 2 organizations
I20231011003423 SC Practitioner - Neurosurgery 3072968478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Carolina Neurosurgery and Spine Associates PAGroup PAC ID 7214833375, 104 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Atrium Health Neurospine Network LLCGroup PAC ID 1052800588, 121 clinicians

Practice addresses (Care Compare)

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

550 Mount Holly Medical Pkwy
Belmont, NC 28012-4390
Phone (704) 272-3578

937 Riverwalk Pkwy
Rock Hill, SC 29730-0178
Phone (803) 325-1618

937 Riverwalk Pkwy
Suite 101
Rock Hill, SC 29730-0179
Phone (803) 325-1618

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Gastonia, NC, CCN 347099
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021
  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion196
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health Neurospine Network LLC Neurological Surgery CurrentSince Oct 1, 2025 Accepting new patients
Carolina Neurosurgery & Spine Associates PA Neurological Surgery CurrentSince Oct 1, 2023 Accepting new patients
Carolina Neurosurgery & Spine Associates PA Neurological Surgery CurrentSince Oct 1, 2023 Accepting new patients
Atrium Health Neurospine Network LLC Neurological Surgery CurrentSince Oct 1, 2025 Accepting new patients
Carolina Neurosurgery, PA Past Accepting new patients

Locations

550 Mount Holly Medical Pkwy
Ste 114
Belmont, NC 28012
Phone (704) 616-2604

550 Mount Holly Medical Pkwy
Belmont, NC 28012
Phone (704) 272-3578

225 Baldwin Ave
Charlotte, NC 28204
Phone (704) 376-1605

110 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 792-2672

811 Cox Rd
Gastonia, NC 28054
Phone (704) 272-3578

10314 Hamptons Park Dr
Huntersville, NC 28078
Phone (704) 831-4100

937 Riverwalk Pkwy
Rock Hill, SC 29730
Phone (803) 325-1618

937 Riverwalk Pkwy
Ste 101
Rock Hill, SC 29730
Phone (800) 344-6716

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: cshi46185@direct.phhs.org
  • Direct secure messaging: cshi2710647@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://epicproxy.et0905.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1013303049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BALDWIN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043109",
            "telephone_number": "704-376-1605",
            "fax_number": "704-335-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-272-3578",
            "fax_number": "704-272-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "CHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "90669",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2023-01310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chen.shi.p1@direct.cnsa.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "225 Baldwin Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.