Shannon Bivens Kinlaw, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

201666 Issued in NC

Practice address

118 Oakmont Dr
Greenville, NC 27858-5936

Phone

(252) 364-8790

Fax

(252) 364-8794

NPI assigned

Apr 24, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Greenville Pediatric Services, Inc

  • Pediatrics Physician
  • Greenville, NC
  • NPI 1679542971
  NPD (past)
• Pirate Pediatrics, PA

  • Pediatrics Physician
  • Greenville, NC
  • NPI 1265719512
  NPD (past)

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881014298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 OAKMONT DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585936",
            "telephone_number": "252-364-8790",
            "fax_number": "252-364-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 OAKMONT DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585936",
            "telephone_number": "252-364-8790",
            "fax_number": "252-364-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINLAW",
        "first_name": "SHANNON",
        "middle_name": "BIVENS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "201666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Anthony King
• Takara King, MBA
• Kingdom Care Alternative Family Living LLC
• Kingdom Home Care
• Ashley Garlick Kinkaid, D.O.
• Ashley Idiaquez Kinnaird, NP
• Eleanor T Kipp, PMHNP
• Kirby Eye Associates, O.D., P.L.L.C.
• Conrad Quintin Kirby, NURSE PRACTIONER
• Jay Kirby, DO

• Pediatrics Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.