Michelle L Shepherd (NPI# 1073718268, PAC ID# 3971692484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1073718268 |
| PAC ID by PECOS | 3971692484 |
| Professional Enrollment ID | I20080924000130 |
| Full Name | Michelle L Shepherd |
| Organization Legal Name | NMG SOUTHPARK SERVICES, LLC |
| Address |
13 Medical Campus Dr Nw Suite 101 Supply NC 28462-4093 |
| Phone Number | 9107214300 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6901075977 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 3362777226 | BRUNSWICK COMMUNITY HOSPITAL, LLC |
| 13 Medical Campus Dr Nw, Suite 101, Supply, NC 28462-4093 | 9107214300 | NMG SOUTHPARK SERVICES, LLC |
| Organization Legal Name | NMG SOUTHPARK SERVICES, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Norato | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Abigail M Jones | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Amy Y Gorman | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 13 Medical Campus Dr Nw, Suite 101, Supply, NC 28462-4093 |
| Diana Marie Kemmerer | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Pamela A Betz | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 13 Medical Campus Dr Nw, Suite 101, Supply, NC 28462-4093 |
| Lisa Ann Rodovich | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 13 Medical Campus Dr Nw, Suite 101, Supply, NC 28462-4093 |
| Patricia R Norcom | Certified Registered Nurse Anesthetist | Nmg Southpark Services, LLC | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Street Address |
13 MEDICAL CAMPUS DR NW SUITE 101 |
| City | SUPPLY |
| State | NC |
| Zip | 28462-4093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Boney Mathis | Nurse Practitioner | Novant Medical Group Inc | 13 Medical Campus Dr Nw, Suite 102, Supply, NC 28462-4093 |
| Frank L Holt | Internal Medicine | Novant Medical Group Inc | 13 Medical Campus Dr Nw, Suite 102, Supply, NC 28462-4093 |
| Amy Y Gorman | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 13 Medical Campus Dr Nw, Suite 101, Supply, NC 28462-4093 |
| Pamela A Betz | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 13 Medical Campus Dr Nw, Suite 101, Supply, NC 28462-4093 |
| Lisa Ann Rodovich | Certified Registered Nurse Anesthetist (crna) | Nmg Southpark Services, LLC | 13 Medical Campus Dr Nw, Suite 101, Supply, NC 28462-4093 |
| Barbara Joan Paolucci | Nurse Practitioner | Novant Medical Group Inc | 13 Medical Campus Dr Nw, Suite 102, Supply, NC 28462-4093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita M Desimone | Occupational Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Benjamin Clark | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Mary F Stoker | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Thomas Lair | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Kurt Kildow | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Scott Thomas | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Brittainy R Edwards Kidlow | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Kathleen May Franzen | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Vaughn Leigh Moore | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Erin Brooke Bostic | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Supply, NC 28462-0001 |
| Find all physicians in zip 28462 | |||
| City | SUPPLY |
| Zip Code | 28462 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SUPPLY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Michelle L Shepherd.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.