Individual provider Active NPI

Shama Jindani, FNP

  • Family Nurse Practitioner
  • Stanley, NC
National Provider Identifier
1548975758
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017528 Issued in NC
Practice address
442 S Highway 27
Stanley, NC 28164-2055
Phone
(704) 263-1416
NPI assigned
Jan 23, 2023
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5017528 NC Primary

Addresses

Primary practice location

442 S Highway 27
Stanley, NC 28164-2055

Mailing address

442 S Highway 27
Stanley, NC 28164-2055
Phone (704) 263-1416

Other names 1

  • Shama Panjwani Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327001420 NC Practitioner - Nurse Practitioner 2769856152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

442 S Hwy 27
Stanley, NC 28164-2055
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017528NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Feb 13, 2023 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

10515 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 494-3466

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

442 S Highway 27
Stanley, NC 28164
Phone (704) 263-1416

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1548975758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 S HIGHWAY 27",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642055",
            "telephone_number": "704-263-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 S HIGHWAY 27",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642055",
            "telephone_number": "704-263-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDANI",
        "first_name": "SHAMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMA",
            "last_name": "PANJWANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stanley, NC

Sources for this page

Verify at the official NPI Registry.