Individual provider Active NPI

Shannon Mary McCrann, D.O.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1336316868
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2014-01277 Issued in NC
Practice address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone
(704) 334-7800
Fax
(704) 414-7512
NPI assigned
May 14, 2008
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO034394 DC
Diagnostic Radiology Physician 2085R0202X 37595 SC
Diagnostic Radiology Physician 2085R0202X H0067892 MD
Diagnostic Radiology Physician 2085R0202X 0102203154 VA
Diagnostic Radiology Physician 2085R0202X 2014-01277 NC Primary

Addresses

Primary practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 334-7800

Other practice location 1

1701 East Blvd
Charlotte, NC 28203-5823
Phone (704) 334-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150509000141 NC Practitioner - Diagnostic Radiology 9537316823 Reassigns benefits to 2 organizations
I20150604002653 SC Practitioner - Diagnostic Radiology 9537316823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945

1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535

101 E W T Harris Blvd
Suite 2122a
Charlotte, NC 28262-3590
Phone (704) 362-1945

1025 Morehead Medical Dr
Suite 150
Charlotte, NC 28204-2973
Phone (704) 334-7800

1045 Negateway NE CT
Concord, NC 28025-2440
Phone (704) 362-1945

1045 Negateway Nect
Cocnord, NC 28025-2440
Phone (704) 334-7800

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945

10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391

1065 Negateway Nect
Concord, NC 28025-2440
Phone (704) 334-7800

1100 Healing Way
Matthews, NC 28104-4951
Phone (704) 246-1566

12335 N Community House Rd
Suite B
Charlotte, NC 28277-1825
Phone (704) 684-8204

132 Gateway Blvd
Suite a
Mooresville, NC 28117-5540
Phone (704) 235-6446

13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 334-7800

1401 Matthews Township Pkwy
Matthews, NC 28105-5403

15419 Hodges Cir
Suite 201B
Huntersville, NC 28078-6557
Phone (704) 895-4970

1550 Faulk St
Suite 1200
Monroe, NC 28112-5087
Phone (704) 362-1945

16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950

16455 Statesville Rd
Suite 110B
Huntersville, NC 28078-7125
Phone (704) 367-2232

2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800

2711 Lane St
Kannapolis, NC 28083-9217
Phone (704) 334-7800

301 S McDowell St
Suite 110
Charlotte, NC 28204-2643
Phone (704) 332-7811

332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500

433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (704) 362-1945

487 Lake Concord Rd NE
Concord, NC 28025-2934
Phone (704) 403-0200

500 Morven Rd
Wadesboro, NC 28170-2745
Phone (704) 362-1945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0067892MDMDDiagnostic Radiology Physician
2014-01277NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 3, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Aug 3, 2019 Accepting new patients
Charlotte Radiology P a CurrentSince Mar 19, 2015 Accepting new patients
Carolinas Imaging Services, LLC CurrentSince Jul 18, 2017 Accepting new patients
Charlotte Radiology PA Diagnostic Radiology PastSince Mar 19, 2015 Accepting new patients
Washington Radiology Assoc PLLC Past Accepting new patients
Washington Radiology Associates, PLLC Past Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

12335 N Community House Rd
Ste B
Charlotte, NC 28277

1701 East Blvd
Charlotte, NC 28203

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

2293 Sugar Hill Rd
#G
Marion, NC 28752

724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572

7666 Charlotte Hwy
Ste 120
Indian Land, SC 29707
Phone (803) 328-6281

1656 Riverchase Blvd
Ste 1200
Rock Hill, SC 29732
Phone (803) 327-9934

Organizations & group practices 9

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 12

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1336316868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 East Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035823",
            "country_code": "US",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRANN",
        "first_name": "SHANNON",
        "middle_name": "MARY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "DO034394",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "37595",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "H0067892",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102203154",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2014-01277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.