Shani Fleming, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08021 Issued in NC

Practice address

4001 Tuckaseegee Rd
Charlotte, NC 28208-2831

Phone

(704) 941-6000

Fax

(704) 586-9556

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

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.

• Starmed Urgent & Family Care, P.a.

  • Physician Assistant
  • Charlotte, NC
  • NPI 1790282853
  NPD (past)
• Pediatric Care Center LLC

  • Pediatrics Physician
  • Christiansted, VI
  • NPI 1619186087
  NPD (past)
• Promed Clinics, LLC

  • Clinic/Center
  • Frederiksted, VI
  • NPI 1487998035
  NPD (past)
• Total Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MD
  • NPI 1225857378
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1508084849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082831",
            "telephone_number": "704-941-6000",
            "fax_number": "704-586-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082831",
            "telephone_number": "704-941-6000",
            "fax_number": "704-586-9556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5344 Central Ave # B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28212",
            "country_code": "US",
            "telephone_number": "704-319-9200",
            "fax_number": "704-586-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "SHANI",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02991",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Lauren Fleming, PA-C
• Morgan Allison Fleming, PHARMD
• Nicholas James Fleming, MD
• Nicole Suzanne Fleming, PA
• Shadavias Monique Fleming, LCSWA
• Trey Fleming
• Willie Clarence Fleming, PH.D.,LPC, NCC
• Carmen P Flesher, CRNA, DNP
• Justin Flesher, CRNA
• Amanda Nicole Fletcher, MD, MSCR

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.