Individual provider Active NPI

Shannon Hester Alley, DNP,FNP-C

  • Nurse Practitioner
  • Pinehurst, NC
National Provider Identifier
1104548718
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019304 Issued in NC
Practice address
6 Regional Dr Ste D
Pinehurst, NC 28374-9868
Phone
(910) 221-7195
Fax
(910) 660-0984
NPI assigned
Sep 12, 2022
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 5019304 NC Primary

Addresses

Primary practice location

6 Regional Dr Ste D
Pinehurst, NC 28374-9868

Mailing address

4731 Center Rd
Bladenboro, NC 28320-8279
Phone (910) 874-0491

Other practice location 1

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone (910) 484-8114

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131002559 NC Practitioner - Nurse Practitioner 5294264404 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Practice addresses (Care Compare)

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

6 Regional Dr
Suite D
Pinehurst, NC 28374-9868
Phone (769) 243-6141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5019304NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Healthcare System CurrentSince Nov 12, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Nov 12, 2024 Accepting new patients
Carolina Kidney Care, PA CurrentSince Apr 20, 2026 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794

557 Sandhurst Dr
Fayetteville, NC 28304

810 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 618-1055

6 Regional Dr
Ste D
Pinehurst, NC 28374
Phone (910) 221-7195

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1104548718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 CENTER RD",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283208279",
            "telephone_number": "910-874-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 REGIONAL DR STE D",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749868",
            "telephone_number": "910-221-7195",
            "fax_number": "910-660-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 Sandhurst Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044433",
            "country_code": "US",
            "telephone_number": "910-484-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "SHANNON",
        "middle_name": "HESTER",
        "name_prefix": "Dr.",
        "credential": "DNP,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.