Shae Medical, PLLC
NPI 1053084202ActiveOrganization· Family Medicine, Geriatric Medicine· Durham, NC
Family Medicine, Geriatric Medicine in Durham, North Carolina, registered in NPPES in July 2021. The authorized official on file is Brittany A. McKinney, PA-C, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053084202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2021 |
| Last updated in NPPES | Sep 11, 2024 |
| Certified by provider | Sep 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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