Individual provider Active NPI

Shannon N Chadha, MD

  • Allergy & Immunology Physician
  • Charlotte, NC
National Provider Identifier
1073774964
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2014-00644 Issued in NC
Practice address
2600 E 7TH St
Unit a
Charlotte, NC 28204-4375
Phone
(704) 372-7900
Fax
(704) 376-2216
NPI assigned
Jun 23, 2008
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2014-00644 NC Primary

Addresses

Primary practice location

2600 E 7TH St
Unit a
Charlotte, NC 28204-4375

Mailing address

PO Box 63376
Charlotte, NC 28263-3376
Phone (704) 372-7900

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
I20140904002343 NC Practitioner - Allergy/Immunology 5496996084 Reassigns benefits to 1 organization
I20141021002130 SC Practitioner - Allergy/Immunology 5496996084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11840 Southmore Dr
Suite 175
Charlotte, NC 28277-4466
Phone (704) 372-7900

2600 E 7TH St
Unit a
Charlotte, NC 28204-4319
Phone (704) 372-7900

420 Herlong Ave S
Suite 101
Rock Hill, SC 29732-1091
Phone (803) 327-2355

8401 Univeristy Blvd
Suite 128
Charlotte, NC 28262-1358
Phone (704) 503-1521

855 Sam Newell Rd
Suite 206
Matthews, NC 28105-7594
Phone (704) 372-7900

900 Branchview Dr
Suite 100
Concord, NC 28025-2216
Phone (704) 792-1131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47237TNMDPharmacist
2014-00644NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Asthma and Allergy Center PA Allergy & Immunology CurrentSince Aug 1, 2014 Accepting new patients

Locations

11840 Southmore Dr
Ste 175
Charlotte, NC 28277

14130 Rivergate Pkwy
Ste 125
Charlotte, NC 28273

14135 Ballantyne Corporate Pl
Ste 225
Charlotte, NC 28277
Phone (704) 316-2930

2600 E 7th St
Unit A
Charlotte, NC 28204
Phone (704) 998-0840

3426 Toringdon Way
Ste 102
Charlotte, NC 28277

5970 Fairview Rd
Ste 500
Charlotte, NC 28210
Phone (704) 680-3140

8401 University Exec Park Dr
Ste 128
Charlotte, NC 28262

900 Branchview Dr NE
Ste 100
Concord, NC 28025
Phone (704) 792-1131

19475 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5136

620 Summit Crossing Pl
Ste 202
Gastonia, NC 28054

912 2nd St NE
Hickory, NC 28601
Phone (828) 267-1916

15940 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 655-1466

855 Sam Newell Rd
Ste 206
Matthews, NC 28105
Phone (704) 341-9600

1995 Wellness Blvd
Ste 200
Monroe, NC 28110
Phone (704) 289-3900

311 Williamson Rd
Ste 100
Mooresville, NC 28117
Phone (704) 664-2552

114 Lee St
Shelby, NC 28150
Phone (704) 480-0685

420 Herlong Ave S
Ste 101
Rock Hill, SC 29732
Phone (803) 327-2355

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nicole.chadha.p1@direct.caac.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1073774964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63376",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633376",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST",
            "address_2": "UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044375",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "SHANNON",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2014-00644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.