Individual provider Active NPI

Ivory Janee' Shelton, M.D.

  • Pediatrics Physician
  • Winston Salem, NC
National Provider Identifier
1902425986
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2026-03362 Issued in NC
Practice address
Medical Center Boulevard
Wake Forest Department of Emergency Medicine
Winston Salem, NC 27157-0001
Phone
(336) 716-1802
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2026-03362 NC Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 2026-03362 NC

Addresses

Primary practice location

Medical Center Boulevard
Wake Forest Department of Emergency Medicine
Winston Salem, NC 27157-0001

Mailing address

Medical Center Boulevard
Wake Forest Department of Emergency Medicine
Winston Salem, NC 27157-0001
Phone (336) 716-1802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240112003273 KY Practitioner - Pediatric Medicine 4981055050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Childrens Medical Group LLCGroup PAC ID 3779917596, 234 clinicians

Practice addresses (Care Compare)

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-1234

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

1100 E Market St
Louisville, KY 40206
Phone (502) 596-1000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Organizations & group practices 4

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1902425986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BOULEVARD",
            "address_2": "WAKE FOREST DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BOULEVARD",
            "address_2": "WAKE FOREST DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "IVORY",
        "middle_name": "JANEE'",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2026-03362",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NC",
            "license": "2026-03362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.