Individual provider Active NPI

Sherman Austin Yeargan III, M.D.

  • Orthopaedic Surgery Physician
  • Wilmington, NC
National Provider Identifier
1962421917
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200601004 Issued in NC
Practice address
5725 Oleander Dr
Unit E, BLDG. 4
Wilmington, NC 28403-4724
Phone
(910) 769-7878
Fax
(910) 769-8967
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 200601004 NC Primary

Addresses

Primary practice location

5725 Oleander Dr
Unit E, BLDG. 4
Wilmington, NC 28403-4724

Mailing address

5725 Oleander Dr
Unit E, BLDG. 4
Wilmington, NC 28403-4724
Phone (910) 769-7878

Other identifiers 5

IdentifierTypeStateIssuer
8870075OtherNCCIGNA HEALTHCARE
5905103MedicaidNC
143JTOtherNCBCBS OF NORTH CAROLINA
6201340001OtherNCDMERC JURISDICTION C
0901492OtherNCUNITED HEALTHCARE

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
I20061212000547 NC Practitioner - Orthopedic SurgeryPractitioner - Family Practice 0345213013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5725 Oleander Dr
Suite E4
Wilmington, NC 28403-4746
Phone (910) 769-7878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200601004NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Shoulder and Elbow Surgery and Sports Medicine, PA Current Accepting new patients
Steadman Clinic Professional LLC Orthopaedic Surgery Past Accepting new patients

Locations

6019 Oleander Dr
Ste 200B
Wilmington, NC 28403
Phone (910) 791-0313

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1962421917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR",
            "address_2": "UNIT E, BLDG. 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034724",
            "telephone_number": "910-769-7878",
            "fax_number": "910-769-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR",
            "address_2": "UNIT E, BLDG. 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034724",
            "telephone_number": "910-769-7878",
            "fax_number": "910-769-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARGAN",
        "first_name": "SHERMAN",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200601004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "8870075",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905103",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "143JT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC JURISDICTION C",
            "identifier": "6201340001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0901492",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.