Individual provider Active NPI

Sherrie Gray Cass, FNP-C

  • Family Nurse Practitioner
  • Southport, NC
National Provider Identifier
1649736653
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011461 Issued in NC
Practice address
5130 Southport Supply Rd SE Ste 101-2
Southport, NC 28461-9261
Phone
(910) 477-9038
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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 5011461 NC Primary

Addresses

Primary practice location

5130 Southport Supply Rd SE Ste 101-2
Southport, NC 28461-9261

Mailing address

103 Bonnetts Creek LN
Southport, NC 28461-3150
Phone (919) 605-4901

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
I20190506002041 NC Practitioner - Nurse Practitioner 6709128010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Family Medicine PA CurrentSince May 1, 2019 Accepting new patients

Locations

3960 Executive Park Blvd
Ste 600
Southport, NC 28461
Phone (910) 454-4343

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11802/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1649736653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BONNETTS CREEK LN",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613150",
            "telephone_number": "919-605-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 SOUTHPORT SUPPLY RD SE STE 101-2",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619261",
            "telephone_number": "910-477-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASS",
        "first_name": "SHERRIE",
        "middle_name": "GRAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.