Shanda Nicole Felton, PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0010-09102 Issued in NC

Practice address

609 Attain St Ste 101
Fuquay Varina, NC 27526-1984

Phone

(919) 567-0684

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shanda Nicole Perry Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Lincoln Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Durham, NC
  • NPI 1114978582

  NC

  Medicare reassignment NPD
• Best Day Psychiatry and Counseling, PC

  • Prescribing (Medical) Psychologist
  • Fayetteville, NC
  • NPI 1477506343

  NC

  Medicare reassignment
• Lincoln Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Durham, NC
  • NPI 1114614518
  NPD
• Best Day Psychiatry and Counseling, PC

  • Psychiatry Physician
  • Mt Pleasant, SC
  • NPI 1467291542
  NPD

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1972161503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DURBIN PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056127",
            "telephone_number": "919-423-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ATTAIN ST STE 101",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261984",
            "telephone_number": "919-567-0684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Fayetteville St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072325",
            "country_code": "US",
            "telephone_number": "919-956-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELTON",
        "first_name": "SHANDA",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "0010-09102",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD LICENSE",
            "identifier": "0010-09102",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDA",
            "last_name": "PERRY",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon C Fahy, MSW LCSW LICSW
• Family Optical LLC
• Tiffany Eve Fass
• Samantha May Faust, BSN, RN, IBCLC
• Elisabeth Feeley, MS CCC-SLP
• Clare Louise Fentress, OTR/L
• Mark Allen Ferguson, PT
• Lisa Fields
• Lauren R Fiore
• Amanda Nicole Fitterer, RDN, LDN, LAT, ATC

• General Practice Physician in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.