Individual provider Active NPI

Shahla Naz, M.D.

  • Family Medicine Physician
  • Hope Mills, NC
National Provider Identifier
1073801817
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014-01425 Issued in NC
Practice address
1249 Chicken Foot Rd
Hope Mills, NC 28348-7525
Phone
(910) 423-1278
Fax
(910) 423-2547
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 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 2014-01425 NC Primary

Addresses

Primary practice location

1249 Chicken Foot Rd
Hope Mills, NC 28348-7525

Mailing address

2600 N Elm St
Lumberton, NC 28358-3011
Phone (910) 272-3051

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
I20141030000524 NC Practitioner - Family Practice 6709007065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

101 Cotten LN
Holly Springs, NC 27540-8415
Phone (919) 235-6555

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01425NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians, LLC Family Medicine Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Dec 15, 2020 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Dec 15, 2020 Accepting new patients
Wake Specialty Physicians LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410

101 Cotten Ln
Holly Springs, NC 27540
Phone (919) 235-6456

2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

Interoperability endpoints

  • Direct secure messaging: snaz261376@directhisp.wakemed.org

Organizations & group practices 6

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 3

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1073801817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583011",
            "telephone_number": "910-272-3051",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 CHICKEN FOOT RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487525",
            "telephone_number": "910-423-1278",
            "fax_number": "910-423-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZ",
        "first_name": "SHAHLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-01425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

Verify at the official NPI Registry.