Individual provider Active NPI

Todd Shapley-Quinn, M.D.

  • Family Medicine Physician
  • Hillsborough, NC
National Provider Identifier
1861576720
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31199 Issued in NC
Practice address
405 Meadowland Dr
Hillsborough, NC 27278-8503
Phone
(919) 620-4467
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31199 NC Primary

Addresses

Primary practice location

405 Meadowland Dr
Hillsborough, NC 27278-8503

Mailing address

405 Meadowland Dr
Hillsborough Family Practice
Hillsborough, NC 27278-8503
Phone (919) 684-8111

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
I20100123000154 NC Practitioner - Family Practice 5698817013 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31199NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Mar 28, 2000 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Mar 28, 2000 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients

Locations

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

405 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 304-5900

267 S Churton St
Ste 100
Hillsborough, NC 27278
Phone (919) 732-8131

10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1861576720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MEADOWLAND DR",
            "address_2": "HILLSBOROUGH FAMILY PRACTICE",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788503",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MEADOWLAND DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788503",
            "telephone_number": "919-620-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPLEY-QUINN",
        "first_name": "TODD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

Verify at the official NPI Registry.