SHELLY WARREN DARTY PAC
NPI 1013990712
Physician Assistant in Kernersville, NC

Active since November 28, 2005PECOS Enrolled
861 OLD WINSTON RD, KERNERSVILLE, NC 27284(336) 802-2300(336) 802-2301 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelly Warren Darty Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY WARREN DARTY PAC (NPI 1013990712) is an individual physician assistant in Kernersville, North Carolina and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013990712
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELLY WARREN DARTYCredential: PAC
Location Address861 OLD WINSTON RDKernersville, NC 27284-7140
Mailing Address607 Idol StHigh Point, NC 27262-7804 · (336) 802-2400 · Fax (336) 802-2001
Fax(336) 802-2301
Sole ProprietorNo
Enumeration DateNovember 28, 2005
Last NPPES UpdateMay 18, 2009
NPI 1013990712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 102585 (NC)
861 OLD WINSTON RD, Kernersville, NC 27284

Other Identifiers 6

Medicare PINP00398019NC
Medicare PIN2762009ANC
OtherD7935NC · Medcost
Medicare UPINQ27688
Medicare PIN2762009NC
Other7057773NC · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelly Warren Darty Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Nurse Practitioner (Family)
861 OLD WINSTON RD, SUITE 103
KERNERSVILLE, NC 27284
Physician Assistant
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Physical Therapist (Sports)
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Specialist/Technologist (Athletic Trainer)
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Physical Therapist (Sports)
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Physical Therapist
861 OLD WINSTON RD
KERNERSVILLE, NC 27284
Pediatrics
861 OLD WINSTON RD, SUITE 103
KERNERSVILLE, NC 27284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Darty's NPI number?

The NPI number for Shelly Darty is 1013990712. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Shelly Darty located?

Shelly Darty practices at 861 Old Winston Rd, Kernersville, NC 27284. The listed phone number is (336) 802-2300.

What is Shelly Darty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shelly Darty enrolled in Medicare?

Yes. Shelly Darty is registered in the Medicare PECOS enrollment system.

What insurance does Shelly Darty accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Shelly Darty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Darty was last updated on May 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.