Individual provider Active NPI

Shirley Diane Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Huntersville, NC
National Provider Identifier
1760413942
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
048627 Issued in NC
Practice address
10030 Gilead Rd
Huntersville, NC 28078-7545
Phone
(704) 316-4875
NPI assigned
Jul 5, 2006
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 048627 NC Primary

Addresses

Primary practice location

10030 Gilead Rd
Huntersville, NC 28078-7545

Mailing address

PO Box 601549
Charlotte, NC 28260-1549
Phone (704) 384-4000

Other identifiers 2

IdentifierTypeStateIssuer
NAN452MedicaidSC
8050999MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SDAVIS81408@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000264 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183799356 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wake Forest University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perioperative Services, LLCGroup PAC ID 1951426246, 8 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

1822 Brunswick Ave
Charlotte, NC 28207-1820
Phone (704) 831-3110

433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (980) 212-2000

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
048627NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2015 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Jan 5, 2026 Accepting new patients
The Presbyterian Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 17, 2012 Accepting new patients
Gaston Cardiac Anesthesis and Past Accepting new patients
Gaston Cardiac Anethesis and Nurse Anesthetist, Certified Registered Past Accepting new patients
Gaston Anesthesia Associates, P.a. Past Accepting new patients

Locations

1822 Brunswick Ave
Charlotte, NC 28207
Phone (704) 342-4323

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2545 Court Dr
Gastonia, NC 28054
Phone (704) 671-5600

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • Direct secure messaging: sdavis81408@direct.novanthealth.org

Organizations & group practices 7

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 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1760413942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601549",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601549",
            "telephone_number": "704-384-4000",
            "fax_number": "704-384-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 GILEAD RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787545",
            "telephone_number": "704-316-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHIRLEY",
        "middle_name": "DIANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "048627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN452",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050999",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SDAVIS81408@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "10030 Gilead Rd",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280787545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.