Charles Shane Daniels, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

2023-01908 Issued in NC

Practice address

4130 Oleander Dr Ste 100
Wilmington, NC 28403-6844

Phone

(910) 338-3494

Fax

(910) 338-0860

NPI assigned

Nov 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Specialty

Pain Management

Education

University of Oklahoma College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFHCBA
• Direct secure messaging: cdaniels486499@directhisp.wakemed.org

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.

• Raleigh Neurosurgical Clinic, Inc.

  • Neurological Surgery Physician
  • Raleigh, NC
  • NPI 1598702490
  Medicare reassignment Care Compare group NPD
• Raleigh Neurosurgical Clinic, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Goldsboro, NC
  • NPI 1801660212
  NPD
• Desert Pain Specialists, Inc

  • Specialist
  • Rancho Mirage, CA
  • NPI 1114244126
  NPD (past)
• Desilva Medical, Inc.

  • Internal Medicine Physician
  • Palmdale, CA
  • NPI 1528249802
  NPD (past)
• Mirage Pain and Rehabilitation Associates a Medical Group, Inc.

  dba Desert Pain & Rehabilitation Associates

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Rancho Mirage, CA
  • NPI 1508925439
  NPD (past)
• U.S. Desilva MD, a Medical

  • Anesthesiology Physician
  • Palmdale, CA
  • NPI 1740204197
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1710167168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722411",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036844",
            "telephone_number": "910-338-3494",
            "fax_number": "910-338-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5838 Six Forks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276093893",
            "country_code": "US",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CHARLES",
        "middle_name": "SHANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2023-01908",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "2023-01908",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A94985",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "2023-01908",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2023-01908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Duffy DMD, PLLC (Live Oak Dental)
• Katherine Daniel-Valley, PT, DPT
• Christian Daniel, MD
• Christopher Daniel, PAC
• Danielle M. Gough, DMD, PLLC (Complete Dental Barclay)
• Katherine Marie Daniels, DPT
• Alexander Danilowicz, LCSW, CADC
• Jennifer Danks, PMHNP-BC
• Frances Estoy Danner
• Yvonne Dao, PA-C

• Interventional Pain Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Interventional Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.