Shanelle Ranae Arthur, DO
Individual provider Active NPI Hospitalist Physician · Smithfield, NC
NPI 1265923536 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1265923536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 2021-02487 (NC)
- Practice address
- 509 N Brightleaf Blvd
Smithfield, NC 27577-4407 - Phone
- (919) 938-7189
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Michigan State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina MG LLC
Practice addresses (Care Compare)
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (984) 215-4000
Hospital & facility affiliations
- Unc Health Johnston Home Care and Hospice
- Johnston Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210919000010 | NC | Practitioner - Hospitalist |
1658778600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101024187 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Hospitalist | Current |
Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
2138 Veterans Pkwy
Clayton, NC 27520
Phone (919) 585-8000
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
Interoperability endpoints
- sarthur773961@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2021-02487 | NC | |
| Internal Medicine Physician | 207R00000X | 5101024187 | MI | |
| Hospitalist Physician | 208M00000X | 2021-02487 | NC | Yes |
Addresses
Primary practice location
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Mailing address
344 Sycamore Creek Dr
Holly Springs, NC 27540-7343
Phone (248) 752-7692
Other practice location 1
11885 E 12 Mile Rd Ste 300A
Warren, MI 48093
Phone (586) 582-6630
Other names
- Shanelle Ranae Holloway
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sarthur773961@direct.UNC.nchie.net | Direct |
Other providers in Smithfield, NC
- Russell Anderson
- Tara Andrade
- Keniko L'Shay Andrews
- Anesthesia Care, PLLC
- Kylie Medlin Arp
- Kimberly Ashley
- Abdallah Onsy Askar
- Aspirations and Miralces Community Support Services
- Mary Frances Asterita-Robol
- Efuetbejah Atemnkeng
All providers in Smithfield, NC · Hospitalist Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.