Individual provider Active NPI

Shivani Sheth, PA-C

  • Medical Physician Assistant
  • Clayton, NC
National Provider Identifier
1184454324
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
900 S Lombard St Ste 106
Clayton, NC 27520-2737
Phone
(919) 341-3638
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

900 S Lombard St Ste 106
Clayton, NC 27520-2737

Mailing address

5809 Taylor Rd Apt 413
Wendell, NC 27591-4516

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
I20250508000256 NC Practitioner - Physician Assistant 5799202263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

2076 NC Hwy 42 W 100
Clayton, NC 27520-5303
Phone (919) 782-4888

2402 Camden St SW
Wilson, NC 27893-4495
Phone (252) 237-4100

2601 Lake Dr
Suite 201
Raleigh, NC 27607-6689
Phone (919) 783-4888

300 Veterans Pkwy
Clayton, NC 27520-2760
Phone (919) 782-1806

3521 Haworth Dr
Raleigh, NC 27609-7244
Phone (919) 782-1806

929 Kildaire Farm Rd
Cary, NC 27511-3922

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

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

Organizations & group practices 1

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 3

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1184454324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 TAYLOR RD APT 413",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275914516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S LOMBARD ST STE 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202737",
            "telephone_number": "919-341-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "SHIVANI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.