Shirley L Aycoth, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004255 Issued in NC

Practice address

901 Dow Rd
Carolina Beach, NC 28428-4514

Phone

(910) 458-3060

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1699748608

  Family, NC

  Medicare reassignment Care Compare group NPD
• Minuteclinic Primary Care North Carolina PLLC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1356159818

  Family, NC

  Medicare reassignment NPD
• East River Medical, PLLC

  • Family Nurse Practitioner
  • Bluefield, WV
  • NPI 1265530752

  Family

  NPD (past)
• Vohra Wound Physicians of Ny, PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1447527320
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1275596199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOW RD",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284514",
            "telephone_number": "910-458-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOW RD",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284514",
            "telephone_number": "910-458-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119727",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYCOTH",
        "first_name": "SHIRLEY",
        "middle_name": "L",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ulrich Affemann, PH.D.
• Jane E. Albers, MSW, LCSW, LCAS, CCS
• Amanda Cerqueira, DDS, PA
• Amanda Parmley Counseling PLLC
• Corey Andolfi, MA, LMFT, NBCCH
• Azalea Behavioral Services LLC
• Balbach, LLC
• Jack Parker Barnett, PHARMD
• Lauren Medl Bates
• Kayse Fields Beasley, MS, CCC-SLP

• All providers in Carolina Beach, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.