Active NPI
Shannon Nicole Dobbins
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5013467
- Practice address
- 125 Queens Rd Ste 200
Charlotte, NC 28204-3215 - Phone
- (704) 343-9800
- Fax
- (704) 347-2011
- NPI assigned
- Aug 24, 2015
- Last updated
- Jul 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00609000 | NJ | |
| Nurse Practitioner | 363L00000X | 5013467 | NC | Primary |
Addresses
Primary practice location
125 Queens Rd Ste 200
Charlotte, NC 28204-3215
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800
Other practice location 1
9 Sturbridge Ct
Egg Harbor Township, NJ 08234-7643
Phone (609) 788-0553
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdobbins835269@direct.novanthealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
125 Queens Rd
Charlotte, NC 28204-3215
1401 Matthews Township Pkwy
Suite 110
Matthews, NC 28105-5403
Phone (704) 264-3500
1401 Matthews Township Pkwy
Suite 212And312
Matthews, NC 28105-5402
Phone (704) 316-3131
1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Ste 200
Charlotte, NC 28204
125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024
1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131
134 Medical Park Rd
Ste 200
Mooresville, NC 28117
Phone (704) 384-7972
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- sdobbins835269@direct.novanthealth.org
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.
-
dba Novant Health Senior Care
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1407150816
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Matthews, NC
- NPI 1477073641
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1457695264
-
dba Novant Health Infusion
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Matthews Medical Center
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1407223712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043215",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
}
],
"practiceLocations": [
{
"address_1": "9 Sturbridge Ct",
"address_purpose": "LOCATION",
"city": "Egg Harbor Township",
"state": "NJ",
"postal_code": "082347643",
"country_code": "US",
"telephone_number": "609-788-0553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBBINS",
"first_name": "SHANNON",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00609000",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5013467",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdobbins835269@direct.novanthealth.org",
"affiliation": "N",
"address_1": "125 Queens Rd Ste 200",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.