Individual provider Active NPI

Stephanie Bundy Sherrill, MD

  • Pediatrics Physician
  • Davidson, NC
National Provider Identifier
1134196009
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35854 Issued in NC
Practice address
2101 Shiloh Church Rd
Ste 101
Davidson, NC 28036-7601
Phone
(704) 439-3700
NPI assigned
Mar 1, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35854 NC Primary

Addresses

Primary practice location

2101 Shiloh Church Rd
Ste 101
Davidson, NC 28036-7601

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1085 NE Gateway Ct NE
Ste 290
Concord, NC 28025-2406
Phone (704) 403-4650

Other practice location 2

3396 Cloverleaf Pkwy
Kannapolis, NC 28083-6992
Phone (704) 403-7740

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ssherrill128904@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35854NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Pediatrics CurrentSince Nov 24, 2019 Accepting new patients
Suburban Pediatric Clinic, Inc. Pediatrics PastSince Nov 24, 2019 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

2101 Shiloh Church Rd
Ste 101
Davidson, NC 28036
Phone (704) 403-7740

Interoperability endpoints

  • Direct secure messaging: ssherrill128904@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1134196009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SHILOH CHURCH RD",
            "address_2": "STE 101",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367601",
            "telephone_number": "704-439-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 NE Gateway Ct NE",
            "address_2": "Ste 290",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252406",
            "country_code": "US",
            "telephone_number": "704-403-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3396 Cloverleaf Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280836992",
            "country_code": "US",
            "telephone_number": "704-403-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "STEPHANIE",
        "middle_name": "BUNDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "35854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssherrill128904@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "2101 Shiloh Church Rd",
            "address_2": "Ste 101",
            "city": "Davidson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280367601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

Verify at the official NPI Registry.