Individual provider Active NPI

Shannon H. Sherfey, M.D.

  • Family Medicine Physician
  • Newton, NC
National Provider Identifier
1073572210
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200101132 Issued in NC
Practice address
767 W 1St St
Newton, NC 28658-4238
Phone
(828) 465-3928
Fax
(828) 465-3118
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200101132 NC Primary

Addresses

Primary practice location

767 W 1St St
Newton, NC 28658-4238

Mailing address

767 W 1St St
Newton, NC 28658-4238
Phone (828) 465-3928

Other identifiers 5

IdentifierTypeStateIssuer
0229NOtherNCBCBS GRP NUMBER
89134F8MedicaidNC
890229NMedicaidNC
310993406OtherNYCIGNA GRP NUMBER
P00269962OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000600 NC Practitioner - Family Practice 1355316761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Family Physicians PAGroup PAC ID 0446289748, 10 clinicians

Practice addresses (Care Compare)

767 W 1St St
Newton, NC 28658-4238
Phone (828) 465-3928

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
  • Guardian Home Health Home health agency, Hickory, NC, CCN 347085
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Family Physicians, P.a. Family Medicine CurrentSince Jul 5, 2005 Accepting new patients
Carolina Medicorp Enterprises, Inc Family Medicine Past Accepting new patients

Locations

767 W 1st St
Newton, NC 28658
Phone (828) 304-0400

Interoperability endpoints

  • Direct secure messaging: shannonsherfeymd@newton.trimed.direct-ci.com

Organizations & group practices 2

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 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1073572210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 W 1ST ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286584238",
            "telephone_number": "828-465-3928",
            "fax_number": "828-465-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 W 1ST ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286584238",
            "telephone_number": "828-465-3928",
            "fax_number": "828-465-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERFEY",
        "first_name": "SHANNON",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200101132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP NUMBER",
            "identifier": "0229N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134F8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890229N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GRP NUMBER",
            "identifier": "310993406",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00269962",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.