Active NPI
Shannon Brackett Hinkle, PA-C, PLLC
- Surgical Physician Assistant
- Rocky Mount, NC
National Provider Identifier
1518991058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA3510
- Legal business name
- SHANNON BRACKETT HINKLE, PA-C, PLLC
- Practice address
- 6411 Waters Edge Dr
Rocky Mount, NC 27803-8925 - Phone
- (252) 442-7462
- Fax
- (252) 446-7463
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shannon Brackett Hinkle III, PA-C
- Title
- Owner
- Phone
- (252) 442-7462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA3510 | FL | Primary |
Addresses
Primary practice location
6411 Waters Edge Dr
Rocky Mount, NC 27803-8925
Mailing address
6411 Waters Edge Dr
Rocky Mount, NC 27803-8925
Phone (252) 442-7462
Other names 1
- Shannon Brackett Hinkle, PA-C, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1518991058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 WATERS EDGE DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278038925",
"telephone_number": "252-442-7462",
"fax_number": "252-446-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 WATERS EDGE DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278038925",
"telephone_number": "252-442-7462",
"fax_number": "252-446-7463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON BRACKETT HINKLE, PA-C, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HINKLE",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "BRACKETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-442-7462",
"authorized_official_name_prefix": "Ms.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA3510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shannon Brackett Hinkle, PA-C, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.