Shaunna Lorene Herrman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103781 Issued in NC

Practice address

7118 Main St
Wade, NC 28395-9749

Phone

(910) 483-6694

Fax

(910) 483-2215

NPI assigned

Jun 16, 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

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

Physician Assistant

Education

Duke University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stedman-Wade Health Services, Inc.Group PAC ID 0042205189, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shaunna.perez.1@7912.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.

• Stedman-Wade Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, NC
  • NPI 1609186790

  NC

  Medicare reassignment Care Compare group NPD
• Stedman - Wade Health Services, Inc

  • Community Health Clinic/Center
  • Fayetteville, NC
  • NPI 1912639808

  NC

  Medicare reassignment Care Compare group
• Stedman-Wade Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wade, NC
  • NPI 1578534871
  Care Compare group NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1023053006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "WADE",
            "state": "NC",
            "postal_code": "283950449",
            "telephone_number": "910-483-6694",
            "fax_number": "910-483-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 MAIN ST",
            "city": "WADE",
            "state": "NC",
            "postal_code": "283959749",
            "telephone_number": "910-483-6694",
            "fax_number": "910-483-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMAN",
        "first_name": "SHAUNNA",
        "middle_name": "LORENE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Graham Davis, PA-C
• Elizabeth Anne Dobrin, LCSW
• Angel Maria Harris, LCAS-A
• Helping Hands Health Systems, LLC
• Kimber Henry, PA
• Cheryl Hooks, DNP, FNP-BC
• Jacqueline Bennett Hudson, PA-C
• Patti Jordan, LCSW
• Denise K. Lowe, EDD
• James Maxwell, MD

• All providers in Wade, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.