Shallotte Urgent Care PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SHALLOTTE URGENT CARE PA

Practice address

110 Shallotte Crossing Pkwy Ste 2
Shallotte, NC 28470-8116

Phone

(910) 755-5440

Fax

(910) 755-5420

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Samuel L Kirtley, MD

Title

Medical Director

Phone

(910) 755-5440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821100868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHALLOTTE CROSSING PKWY STE 2",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284708116",
            "telephone_number": "910-755-5440",
            "fax_number": "910-755-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHALLOTTE CROSSING PKWY STE 2",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284708116",
            "telephone_number": "910-755-5440",
            "fax_number": "910-755-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALLOTTE URGENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRTLEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-755-5440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Sellers, BSN RN IBCLC
• Samantha Sessoms, LCASA
• Shallotte Chiropractic Balance and Wellness PLLC
• Shallotte Chiropractic PLLC
• Shallotte Medical Center Inc
• Shallotte Volunteer Rescue Squad
• Chelsea Shaw, LCSWA
• Jarrod Thomas Sheatsley, M.D.
• Ian M Shull, PHARMD
• Deborah Ann Silva, LCMHC, LCAS

• Urgent Care Clinic/Center in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.