NPIMap

Individual provider Active NPI

Joseph Shane Stewart, PA

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1265410674
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103870 Issued in NC
Practice address
10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7217
Phone
(704) 895-9838
Fax
(704) 316-3083
NPI assigned
Jan 5, 2006
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103870 NC Primary

Addresses

Primary practice location

10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7217

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 895-9838

Other identifiers 1

IdentifierTypeStateIssuer
8101592MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstewart14827@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224001049 NC Practitioner - Physician Assistant 5698661924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

10305 Hamptons Park Dr
Suite 101
Huntersville, NC 28078-7217
Phone (704) 384-1130

236 Lephillip Court
Suite a
Concord, NC 28025-1917
Phone (419) 221-6717

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

311 Coddle Market Dr NW
Concord, NC 28027-2432

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

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103870NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2007 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 15, 2019 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

3213 Rogers Rd
Wake Forest, NC 27587
Phone (919) 562-2288

Interoperability endpoints

  • Direct secure messaging: jstewart14827@direct.novanthealth.org

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 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1265410674",
    "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": "704-895-9838",
            "fax_number": "704-316-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 HAMPTONS PARK DR STE 101",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787217",
            "telephone_number": "704-895-9838",
            "fax_number": "704-316-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOSEPH",
        "middle_name": "SHANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101592",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstewart14827@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "10305 Hamptons Park Dr Ste 101",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280787217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.