Individual provider Active NPI

Shauna Ashley Foster, P.A.

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1174816847
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001002861 Issued in NC
Practice address
14330 Oakhill Park Lane
Suite 200B
Huntersville, NC 28078-3407
Phone
(704) 316-1265
Fax
(704) 316-1266
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0010-02861 NC
Physician Assistant 363A00000X 001002861 NC Primary

Addresses

Primary practice location

14330 Oakhill Park Lane
Suite 200B
Huntersville, NC 28078-3407

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1265

Other names 1

  • Shauna Ashley Mikec Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfoster47148@direct.novanthealth.org

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
I20110720000137 NC Practitioner - Physician Assistant 0840468716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

6909 Prosperity Church Rd
Huntersville, NC 28078-6698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001002861NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Oct 26, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2015 Accepting new patients
Carolina Digestive Health Associates, PA Gastroenterology CurrentSince May 25, 2011 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 4, 2020 Accepting new patients
Novant Health Medical Group LLC CurrentSince Sep 1, 2015 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

14330 Oakhill Park Ln
Ste 200B
Huntersville, NC 28078
Phone 7043161265 ext. 6856

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: sfoster47148@direct.novanthealth.org

Organizations & group practices 10

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 5

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1174816847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-1265",
            "fax_number": "704-316-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LANE",
            "address_2": "SUITE 200B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783407",
            "telephone_number": "704-316-1265",
            "fax_number": "704-316-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SHAUNA",
        "middle_name": "ASHLEY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "0010-02861",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001002861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfoster47148@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "14330 Oakhill Park Lane",
            "address_2": "Suite 200B",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280783407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "MIKEC",
            "middle_name": "ASHLEY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.