Individual provider Active NPI

Shannon Ann McGowan, P.A.-C

  • Surgical Physician Assistant
  • Burlington, NC
National Provider Identifier
1629147665
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
102950 Issued in NC
Practice address
1236 Huffman Mill Rd Ste 1300
Burlington, NC 27215-8700
Phone
(336) 227-2761
Fax
(336) 585-0688
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 102950 NC Primary

Addresses

Primary practice location

1236 Huffman Mill Rd Ste 1300
Burlington, NC 27215-8700

Mailing address

1236 Huffman Mill Rd Ste 1300
Burlington, NC 27215-8700
Phone (336) 227-2761

Other practice location 1

3940 Arrowhead Blvd Ste 230
Mebane, NC 27302-7637
Phone (336) 227-2761

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smcgowan277034@direct.conehealth.com Direct

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
I20120815000608 NC Practitioner - Physician Assistant 1153577689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

1107 S Main St
Reidsville, NC 27320-5313
Phone (336) 951-6070

1236 Huffman Mill Rd
Burlington, NC 27215-8700

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

3940 Arrowhead Blvd
Mebane, NC 27302-7637

Hospital & facility affiliations

  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102950NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. CurrentSince Feb 3, 2025 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Feb 3, 2025 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

1236 Huffman Mill Rd
Ste 1300
Burlington, NC 27215
Phone (336) 227-2761

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

3940 Arrowhead Blvd
Ste 230
Mebane, NC 27302
Phone (336) 227-2761

3940 Arrowhead Blvd
Ste 150
Mebane, NC 27302
Phone (336) 227-2761

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

Interoperability endpoints

  • Direct secure messaging: smcgowan277034@direct.conehealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1629147665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 HUFFMAN MILL RD STE 1300",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-227-2761",
            "fax_number": "336-585-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 HUFFMAN MILL RD STE 1300",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-227-2761",
            "fax_number": "336-585-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Arrowhead Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mebane",
            "state": "NC",
            "postal_code": "273027637",
            "country_code": "US",
            "telephone_number": "336-227-2761",
            "fax_number": "336-585-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "SHANNON",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "102950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcgowan277034@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1236 Huffman Mill Rd Ste 1300",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.