NPIMap

Individual provider Active NPI

Shann Lyle Davis, PA-C

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1841313632
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103610 Issued in NC
Practice address
1881 Pisgah Dr BLDG a
Hendersonville, NC 28791-3760
Phone
(828) 697-4336
Fax
(828) 694-6757
NPI assigned
Apr 9, 2007
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103610 NC Primary

Addresses

Primary practice location

1881 Pisgah Dr BLDG a
Hendersonville, NC 28791-3760

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616

Other practice location 1

100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 681-2294

Other practice location 2

2 Etowah School Road
Etowah, NC 28729
Phone (828) 890-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330001315 NC Practitioner - Physician Assistant 9830246610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

1881 Pisgah Dr
BLDG a
Hendersonville, NC 28791-3760
Phone (828) 697-4336

271 Old Barn Rd
Suite C
Hendersonville, NC 28791-8406
Phone (828) 890-4905

80 Doctors Dr
Hendersonville, NC 28792-7289

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc Family Medicine CurrentSince Feb 5, 2020 Accepting new patients
Fletcher Hospital Inc. CurrentSince Feb 5, 2020 Accepting new patients

Locations

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

1881 Pisgah Dr
Bldg A
Hendersonvlle, NC 28791
Phone (828) 694-6722

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • Direct secure messaging: sdavis659273@adventhealth.direct-ci.com
  • Direct secure messaging: shann.davis.1@7859.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1841313632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 PISGAH DR BLDG A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913760",
            "telephone_number": "828-697-4336",
            "fax_number": "828-694-6757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287925272",
            "country_code": "US",
            "telephone_number": "828-681-2294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Etowah School Road",
            "address_purpose": "LOCATION",
            "city": "Etowah",
            "state": "NC",
            "postal_code": "28729",
            "country_code": "US",
            "telephone_number": "828-890-3200",
            "fax_number": "828-890-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANN",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.