Individual provider Active NPI

Amanda Jo Robertson Shepherd, MD

  • Orthopaedic Surgery Physician
  • Lexington, NC
National Provider Identifier
1699936161
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
148942 Issued in NC
Practice address
510 Emergency Dr
Lexington, NC 27292-6804
Phone
(336) 932-0895
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 148942 NC Primary

Addresses

Primary practice location

510 Emergency Dr
Lexington, NC 27292-6804

Mailing address

510 Emergency Dr
Lexington, NC 27292-6804
Phone (336) 932-0895

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023000898 NC Practitioner - Orthopedic Surgery 2567697824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Brody School of Medicine at East Carolina University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

510 Emergency Dr
Lexington, NC 27292-6804
Phone (336) 716-2255

Hospital & facility affiliations

  • Well Care Home Health of the Triad Inc Home health agency, Advance, NC, CCN 347051
  • Lexington Memorial Hospital Inc Hospital, Lexington, NC, CCN 340096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148942NCMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: arobertsonshepherd2755200@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1699936161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 EMERGENCY DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926804",
            "telephone_number": "336-932-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 EMERGENCY DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926804",
            "telephone_number": "336-932-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON SHEPHERD",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "148942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.