NPIMap

Individual provider Active NPI

Anthony Frank Louis Shepherd, PA-C

  • Physician Assistant
  • Concord, NC
National Provider Identifier
1689132078
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
920 Church St N
Concord, NC 28025-2927
Phone
(704) 403-3000
NPI assigned
Mar 5, 2019
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

920 Church St N
Concord, NC 28025-2927

Mailing address

2704 Youngblood St
Charlotte, NC 28203-5534
Phone (530) 249-7934

Other practice location 1

706-520 Wingfield Rd E
Janesville, CA 96114-9663
Phone (530) 249-7934

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL paccres@jhmi.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221018001125 MD Practitioner - Physician Assistant 9830565720 Reassigns benefits to 1 organization
I20231206002198 NC Practitioner - Physician Assistant 9830565720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

1085 NE Gateway CT NE
Suite 290
Concord, NC 28025-2412
Phone (704) 403-4650

1090 NE Gateway CT NE
Concord, NC 28025-2927
Phone (704) 403-1311

200 Medical Park Dr
Concord, NC 28025-0933

920 Church N St
Concord, NC 28025-2927
Phone (704) 403-3000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Nov 20, 2023 Accepting new patients
Johns Hopkins University CurrentSince Oct 1, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Oct 20, 2024 Accepting new patients
Johns Hopkins University CurrentSince Oct 1, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Nov 20, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Oct 20, 2024 Accepting new patients

Locations

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

600 N Wolfe St
Baltimore, MD 21287

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

Interoperability endpoints

  • Direct secure messaging: ashepherd1027697@direct.hopkinsmedicine.org
  • Direct secure messaging: ashepherd2742047@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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 8

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1689132078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 YOUNGBLOOD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035534",
            "telephone_number": "530-249-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-403-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706-520 Wingfield Rd E",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "CA",
            "postal_code": "961149663",
            "country_code": "US",
            "telephone_number": "530-249-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ANTHONY",
        "middle_name": "FRANK LOUIS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "paccres@jhmi.edu",
            "affiliation": "N",
            "address_1": "1800 Orleans St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212870010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.