Active NPI
Cathy H Shore, MD
- Adult Medicine Physician
- Yadkinville, NC
National Provider Identifier
1366437394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 30042
- Practice address
- 624 W Main St
Yadkinville, NC 27055-7804 - Phone
- (336) 679-6758
- Fax
- (336) 679-6744
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 30042 | NC | Primary |
Addresses
Primary practice location
624 W Main St
Yadkinville, NC 27055-7804
Mailing address
3225 Country Club Rd
Yadkinville, NC 27055-5132
Phone (336) 679-7393
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice & Palliative Carecenter | Adult Medicine | Current | Accepting new patients |
| Hospice & Palliative Carecenter | Current | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| United Emergency Services, Inc. | Past | Accepting new patients |
Locations
101 Hospice Ln
Winston Salem, NC 27103
Phone (336) 768-3972
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Winston Salem, NC
- NPI 1730367467
-
- Specialist
- High Point, NC
- NPI 1871640458
-
- Community Based Hospice Care Agency
- Winston Salem, NC
- NPI 1659300770
Adult Medicine
-
- Emergency Medicine Physician
- Sparta, NC
- NPI 1750330387
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366437394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 COUNTRY CLUB RD",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270555132",
"telephone_number": "336-679-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W MAIN ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270557804",
"telephone_number": "336-679-6758",
"fax_number": "336-679-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORE",
"first_name": "CATHY",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NC",
"license": "30042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yadkinville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.