Individual provider Active NPI

Shannon Brittain Mooring, ANP

  • Adult Health Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1669782470
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5004923 Issued in NC
Practice address
910 Berkshire Rd
Smithfield, NC 27577-4751
Phone
(919) 989-7909
NPI assigned
Oct 14, 2010
Last updated
May 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004923 NC
Adult Health Nurse Practitioner 363LA2200X 5004923 NC Primary

Addresses

Primary practice location

910 Berkshire Rd
Smithfield, NC 27577-4751

Mailing address

5420 Wade Park Blvd
Ste. 106
Raleigh, NC 27607-4188
Phone (919) 851-2174

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smooring110679@direct.UNC.nchie.net 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
I20101119000893 NC Practitioner - Nurse Practitioner 9032305727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2076 Veterans Pkwy
Suite 100
Clayton, NC 27520-5303
Phone (919) 359-0322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5004923NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

2076 Veterans Pkwy
Ste 100
Clayton, NC 27520
Phone (919) 359-0322

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

910 Berkshire Rd
Smithfield, NC 27577
Phone (919) 989-7909

Interoperability endpoints

  • Direct secure messaging: smooring110679@direct.unc.nchie.net

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.

Hospital & facility affiliations 2

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1669782470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 WADE PARK BLVD",
            "address_2": "STE. 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074188",
            "telephone_number": "919-851-2174",
            "fax_number": "919-854-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774751",
            "telephone_number": "919-989-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORING",
        "first_name": "SHANNON",
        "middle_name": "BRITTAIN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004923",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smooring110679@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "910 Berkshire Rd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.