Individual provider Active NPI

Cory Glenn Sheeler, FNP-C

  • Family Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1306075544
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203358 Issued in NC
Practice address
101 E Matthews St
Suite 200
Matthews, NC 28105-4866
Phone
(704) 246-3936
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18380 SC
Family Nurse Practitioner 363LF0000X 203358 NC Primary
Family Nurse Practitioner 363LF0000X 5004411 NC

Addresses

Primary practice location

101 E Matthews St
Suite 200
Matthews, NC 28105-4866

Mailing address

15502 Tolliver Dr
Charlotte, NC 28277-1597
Phone (704) 608-4821

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000331 NC Practitioner - Nurse Practitioner 0345393252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
203358NCMDFamily Nurse Practitioner
5004411NCMDFamily Nurse Practitioner
18380SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jun 5, 2023 Accepting new patients
Western Carolina Emergency Physicians, PLLC PastSince Feb 9, 2020 Accepting new patients
Southern Pain & Spine Specialists PLLC Past Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Past Accepting new patients

Locations

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1306075544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15502 TOLLIVER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771597",
            "telephone_number": "704-608-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST",
            "address_2": "SUITE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054866",
            "telephone_number": "704-246-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELER",
        "first_name": "CORY",
        "middle_name": "GLENN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "203358",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.