Individual provider Active NPI

Shanna R Sprinkle, MD, MPH

  • Surgery Physician
  • Oxford, NC
National Provider Identifier
1235574195
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2023-02997 Issued in NC
Practice address
101 Professional Park Ste B
Oxford, NC 27565-2580
Phone
(919) 603-0368
Fax
(919) 690-0842
NPI assigned
May 6, 2013
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2023-02997 NC Primary

Addresses

Primary practice location

101 Professional Park Ste B
Oxford, NC 27565-2580

Mailing address

2521 Greenway Boulevard
Roselle, NJ 07203
Phone (405) 226-6883

Other practice location 1

3900 Park Ave Ste 101
Edison, NJ 08820-3063
Phone (732) 372-6640

Other identifiers 2

IdentifierTypeStateIssuer
25MA11586200OtherNJNJ STATE MEDICAL LICENSE
2023-02997OtherNCNC STATE MEDICAL LICENSE

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
I20231103000641 NC Practitioner - General Surgery 4183071707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health IncGroup PAC ID 0840341822, 9 clinicians

Practice addresses (Care Compare)

102 Professional Park
Suite C
Oxford, NC 27565-2554
Phone (919) 603-0368

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-02997NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Health Inc Current Accepting new patients
Granville Health Inc. CurrentSince Oct 10, 2023 Accepting new patients
Granville Health Inc Surgery CurrentSince Oct 10, 2023 Accepting new patients
Florida Hospital Medical Group Inc PastSince Jun 1, 2020 Accepting new patients

Locations

101 Professional Park
Ste B
Oxford, NC 27565
Phone (919) 603-0368

102 Professional Park
Ste C
Oxford, NC 27565
Phone (919) 603-0368

Interoperability endpoints

  • Direct secure messaging: shannasprinkle@gvhs.allscriptsdirect.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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1235574195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GREENWAY BOULEVARD",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "07203",
            "telephone_number": "405-226-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL PARK STE B",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652580",
            "telephone_number": "919-603-0368",
            "fax_number": "919-690-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Park Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203063",
            "country_code": "US",
            "telephone_number": "732-372-6640",
            "fax_number": "510-256-5076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINKLE",
        "first_name": "SHANNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2023-02997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE MEDICAL LICENSE",
            "identifier": "25MA11586200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE MEDICAL LICENSE",
            "identifier": "2023-02997",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.