Active NPI
Shawn David Macauley, CFE
- Other Technician
- Greensboro, NC
National Provider Identifier
1033581228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- CERT-1360
- Practice address
- 1130 N Church St
Ste 201
Greensboro, NC 27401-1038 - Phone
- (336) 375-4263
- Fax
- (336) 275-2286
- NPI assigned
- Oct 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | CERT-1360 | NC | Primary |
Addresses
Primary practice location
1130 N Church St
Ste 201
Greensboro, NC 27401-1038
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-8930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT-1360 | NC | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1033581228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-8930",
"fax_number": "423-285-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N CHURCH ST",
"address_2": "STE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011038",
"telephone_number": "336-375-4263",
"fax_number": "336-275-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAULEY",
"first_name": "SHAWN",
"middle_name": "DAVID",
"credential": "CFE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NC",
"license": "CERT-1360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.