Active NPI
Shauna Leigh Guthrie, M.D.
- Family Medicine Physician
- Oxford, NC
National Provider Identifier
1609004936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013-01090
- Practice address
- 101 Hunt Dr
Oxford, NC 27565-3497 - Phone
- (919) 693-2141
- Fax
- (919) 693-8517
- NPI assigned
- Jun 25, 2009
- Last updated
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013-01090 | NC | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2013-01090 | NC |
Addresses
Primary practice location
101 Hunt Dr
Oxford, NC 27565-3497
Mailing address
1103 Closs CT
Henderson, NC 27536-3570
Phone (252) 572-1731
Other practice location 1
123 Horner St
Henderson, NC 27536-4126
Phone (252) 572-1731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 2, 2024 through Feb 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-01090 | NC | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granville-Vance District Health Department | Past | Accepting new patients |
Interoperability endpoints
- shauna.guthrie@direct.granvillevance.nchie.net
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.
-
dba Clinical Services
- Community Health Clinic/Center
- Oxford, NC
- NPI 1184783409
-
dba Mass Immunizaton Services
- State or Local Public Health Clinic/Center
- Oxford, NC
- NPI 1194871970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1609004936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 CLOSS CT",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275363570",
"telephone_number": "252-572-1731",
"fax_number": "877-992-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HUNT DR",
"city": "OXFORD",
"state": "NC",
"postal_code": "275653497",
"telephone_number": "919-693-2141",
"fax_number": "919-693-8517"
}
],
"practiceLocations": [
{
"address_1": "123 Horner St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NC",
"postal_code": "275364126",
"country_code": "US",
"telephone_number": "252-572-1731",
"fax_number": "877-992-2298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTHRIE",
"first_name": "SHAUNA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2013-01090",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NC",
"license": "2013-01090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.