Active NPI
Jonathan L. Sheline, MD, MS
- Family Medicine Physician
- Durham, NC
National Provider Identifier
1679694996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29199
- Practice address
- 112 Swift Ave
Durham, NC 27705-4883 - Phone
- (919) 336-0566
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29199 | NC | Primary |
Addresses
Primary practice location
112 Swift Ave
Durham, NC 27705-4883
Mailing address
1301 Fayetteville St
Durham, NC 27707-2325
Phone (919) 956-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29199 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1679694996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 FAYETTEVILLE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072325",
"telephone_number": "919-956-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SWIFT AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054883",
"telephone_number": "919-336-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELINE",
"first_name": "JONATHAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "29199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.