NPIMap

Individual provider Active NPI

Carrie Anne McShane, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
National Provider Identifier
1063850105
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2017-01119 Issued in NC
Practice address
1901 Randolph Rd
Charlotte, NC 28207-1101
Phone
(704) 316-6900
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2017-01119 NC Primary

Addresses

Primary practice location

1901 Randolph Rd
Charlotte, NC 28207-1101

Mailing address

1901 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 316-6900

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170919000004 NC Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 6709184096 Reassigns benefits to 3 organizations
I20210405000908 SC Practitioner - Physical Medicine and Rehabilitation 6709184096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

190 Kimel Park Dr
Suite 131
Winston Salem, NC 27103-6946
Phone (336) 718-7063

415 N Ctr St
Suite 203
Hickory, NC 28601-5036
Phone (828) 322-3017

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01119NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jul 11, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 4, 2020 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Nov 18, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 4, 2020 Accepting new patients
DLP Frye Medical Group LLC Physical Medicine & Rehabilitation CurrentSince Jul 11, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Nov 18, 2019 Accepting new patients
Dr. Shiranee Jayasooriya Inc Physical Medicine & Rehabilitation CurrentSince Mar 30, 2021 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10648 Park Rd
Charlotte, NC 28210
Phone (704) 355-9330

2711 Randolph Rd
Ste 100
Charlotte, NC 28207
Phone (704) 342-1900

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

190 Kimel Park Dr
Ste 131
Winston Salem, NC 27103
Phone (336) 718-5763

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

1795 Frank Gaston Blvd
Rock Hill, SC 29732
Phone (516) 849-8385

Interoperability endpoints

  • Direct secure messaging: cmcshane852221@direct.novanthealth.org

Organizations & group practices 10

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 7

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1063850105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071101",
            "telephone_number": "704-316-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071101",
            "telephone_number": "704-316-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "CARRIE",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2017-01119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.