Individual provider Active NPI

Shana Nicole Adams, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1154923795
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10875 Issued in NC
Practice address
5617 Albemarle Rd
Charlotte, NC 28212-3611
Phone
(980) 326-2700
Fax
(980) 326-4150
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care NC JV PC (28 clinicians)

Practice addresses (Care Compare)

5415 S Blvd
Charlotte, NC 28217-4119
Phone (704) 869-0321

5617 Albemarle Rd
Charlotte, NC 28212-3611
Phone (980) 326-2700

8727 JW Clay Blvd
Charlotte, NC 28262-5417
Phone (980) 999-1831

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210218000303 NC Practitioner - Physician Assistant 6406261742 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-10875NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NC) JV, P.C. Current
since Apr 28, 2025
Accepting new patients
Carolinas Physicians Network Inc Current
since Mar 20, 2025
Accepting new patients
Carolinas Physicians Network Inc Current
since Mar 20, 2025
Accepting new patients
Centerwell Senior Primary Care NC JV PC Current
since Apr 28, 2025
Accepting new patients
Centerwell Senior Primary Care NC JV PC Past Accepting new patients
Centerwell Senior Primary Care NC JV PC Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

8727 Jw Clay Blvd
Charlotte, NC 28262
Phone (980) 999-1831

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1896 Remount Rd
Gastonia, NC 28054
Phone (704) 512-3930

Interoperability endpoints

  • Direct secure messaging: shanahayes@arhs.allscriptsdirect.net
  • Direct secure messaging: shayes1001823@direct.unc.nchie.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10875 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

5617 Albemarle Rd
Charlotte, NC 28212-3611

Mailing address

5617 Albemarle Rd
Charlotte, NC 28212-3611
Phone (980) 326-2700

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address shana.adams.1@29601.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2026.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1154923795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123611",
            "telephone_number": "980-326-2700",
            "fax_number": "980-326-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123611",
            "telephone_number": "980-326-2700",
            "fax_number": "980-326-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHANA",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shana.adams.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5617 Albemarle Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282123611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.