Active NPI
Heather Elizabeth Shiflett, PA-C
- Physician Assistant
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102370
- Practice address
- 1040 Edgewater Corporate Pkwy Ste 104
Fort Mill, SC 29707-4526 - Phone
- (803) 547-8660
- Fax
- (704) 544-0172
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1328 | SC | |
| Physician Assistant | 363A00000X | 102370 | NC | Primary |
Addresses
Primary practice location
1040 Edgewater Corporate Pkwy Ste 104
Fort Mill, SC 29707-4526
Mailing address
8015 Farmbrook Dr
Waxhaw, NC 28173-7123
Phone (704) 667-2650
Other practice location 1
197 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1825
Phone (803) 324-1950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619901568 | Medicaid | NC | |
| 8102101 | Medicaid | NC | |
| 1865PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Wellness Way
Fort Mill, SC 29715-7315
Phone (803) 802-3662
197 Piedmont Blvd
Rock Hill, SC 29732-1824
Phone (803) 324-1950
200 Herlong Ave S
Rock Hill, SC 29732-1182
222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 324-1950
222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328 | SC | MD | Physical Therapist |
| 102370 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revlis Medical, LLC | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Waxhaw Medical Wellness, PLLC | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Medical Center | Past | Accepting new patients | |
| Piedmont General Surgery Associates, LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Union Urgent Care LLC | Past | Accepting new patients |
Locations
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
1001 Blythe Blvd
Ste 300
Charlotte, NC 28203
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
16455 Statesville Rd
Ste 100
Huntersville, NC 28078
Phone (704) 801-1701
1040 Edgewater Corporate Pkwy
Ste 104
Indian Land, SC 29707
Phone (704) 557-0500
Interoperability endpoints
- heather.shiflett@356474464829444.direct.elationemr.com
- heather.shiflett.1@14929.direct.athenahealth.com
- hshiflett3030770@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 18
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.
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
-
- Family Medicine Physician
- Waxhaw, NC
- NPI 1831725217
-
- Family Medicine Physician
- Fort Mill, SC
- NPI 1902411077
-
- Family Medicine Physician
- Fort Mill, SC
- NPI 1891420857
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
-
- Physical Medicine & Rehabilitation Physician
- Indian Land, SC
- NPI 1386223196
-
dba CMC Psychiatry and Behavioral Health
- Adult Health Nurse Practitioner
- Charlotte, NC
- NPI 1457699605
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Surgery Physician
- Rock Hill, SC
- NPI 1639459027
-
dba Atrium Health Pulmonary University
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1386653830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Medical Center
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1619901568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 FARMBROOK DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737123",
"telephone_number": "704-667-2650",
"fax_number": "704-544-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 EDGEWATER CORPORATE PKWY STE 104",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297074526",
"telephone_number": "803-547-8660",
"fax_number": "704-544-0172"
}
],
"practiceLocations": [
{
"address_1": "197 Piedmont Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297321825",
"country_code": "US",
"telephone_number": "803-324-1950",
"fax_number": "803-324-1933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIFLETT",
"first_name": "HEATHER",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "1328",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619901568",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8102101",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1865PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.