Individual provider Active NPI

David C. Shaver, MD

  • Maternal & Fetal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1245284058
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
36829 Issued in NC
Practice address
1718 E 4TH St
Suite 404
Charlotte, NC 28204-3261
Phone
(704) 384-5701
Fax
(704) 384-5642
NPI assigned
May 19, 2006
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 36829 NC Primary

Addresses

Primary practice location

1718 E 4TH St
Suite 404
Charlotte, NC 28204-3261

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840

Other identifiers 2

IdentifierTypeStateIssuer
N36829MedicaidSC
8976633MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshaver15393@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060602000081 NC Practitioner - Obstetrics/Gynecology 0446261630 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NMG Health Services LLCGroup PAC ID 4789057753, 40 clinicians

Practice addresses (Care Compare)

1718 E 4TH St
Suite 404
Charlotte, NC 28204-3193
Phone (704) 384-5701

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services, LLC CurrentSince May 28, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Caromont Medical Group Inc Maternal & Fetal Medicine Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2006 Accepting new patients
NMG Health Services LLC Current Accepting new patients
Caromont Medical Group Inc Maternal & Fetal Medicine CurrentSince Feb 1, 2021 Accepting new patients
NMG Health Services, LLC Maternal & Fetal Medicine CurrentSince May 28, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2006 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 20, 2020 Accepting new patients
Caromont Medical Group Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

1718 E 4th St
Ste 404
Charlotte, NC 28204
Phone (704) 384-5701

1718 E 4th St
Ste 604
Charlotte, NC 28204
Phone (704) 343-4424

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

620 Summit Crossing Pl
Ste 108C
Gastonia, NC 28054
Phone (704) 671-6912

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

190 Rosewood Centre Dr
Ste 100
Holly Springs, NC 27540
Phone (919) 851-1527

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

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: dshaver15393@direct.novanthealth.org

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1245284058",
    "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": "704-384-7840",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST",
            "address_2": "SUITE 404",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043261",
            "telephone_number": "704-384-5701",
            "fax_number": "704-384-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "36829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N36829",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976633",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshaver15393@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1718 E 4th St",
            "address_2": "Suite 404",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.