Individual provider Active NPI

Shauna Leigh Guthrie, M.D.

  • Family Medicine Physician
  • Oxford, NC
National Provider Identifier
1609004936
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-01090 Issued in NC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
2013-01090NCMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granville-Vance District Health Department PastSince Apr 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.