Individual provider Active NPI

Sharon Lindsay Clancy, M.D.

  • Plastic Surgery Physician
  • La Crescenta, CA
National Provider Identifier
1174717649
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2018-02285 Issued in NC
Practice address
5230 Briggs Ave
La Crescenta, CA 91214
Phone
(818) 275-3758
NPI assigned
Aug 28, 2007
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A91365 CA
Plastic Surgery Physician 208200000X 2018-02285 NC Primary

Addresses

Primary practice location

5230 Briggs Ave
La Crescenta, CA 91214

Mailing address

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 860-5414

Other practice location 1

3100 Duraleigh Rd Ste 205
Raleigh, NC 27612-8105
Phone (919) 784-7874

Other practice location 2

301 W Huntington Dr
Arcadia, CA 91007-3462
Phone (626) 218-9840

Other practice location 3

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 359-8111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sclancy855366@direct.UNC.nchie.net Direct

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
I20190124003180 NC Practitioner - Plastic and Reconstructive Surgery 8123167681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rutgers New Jersey Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

3100 Duraleigh Rd
Suite 203
Raleigh, NC 27612-8105
Phone (919) 784-7874

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91365CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Current Accepting new patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
California Cancer Specialists Medical Group Inc Plastic Surgery Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

300 Ashville Ave
Ste 240
Cary, NC 27518
Phone (919) 415-1793

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

3100 Duraleigh Rd
Ste 203
Raleigh, NC 27612

3100 Duraleigh Rd
Ste 205
Raleigh, NC 27612
Phone (919) 238-5001

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: sclancy855366@direct.unc.nchie.net

Organizations & group practices 4

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1174717649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224201",
            "telephone_number": "206-860-5414",
            "fax_number": "206-720-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 BRIGGS AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "91214",
            "telephone_number": "818-275-3758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Duraleigh Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276128105",
            "country_code": "US",
            "telephone_number": "919-784-7874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073462",
            "country_code": "US",
            "telephone_number": "626-218-9840",
            "fax_number": "626-218-9860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "626-359-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "SHARON",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A91365",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2018-02285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sclancy855366@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3100 Duraleigh Rd Ste 205",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276128105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.