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SHAE MEDICAL, PLLC
NPI 1053084202
Family Medicine - Geriatric Medicine in Durham, NC

Active since July 25, 2021
5306 NC HIGHWAY 55, SUITE 105, DURHAM, NC 27713(919) 646-4858(919) 679-7112 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2024, Nov 18, 2021, Aug 6, 2021 and 1 more (4 updates tracked since 2021).

About Shae Medical, Pllc NPPES

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

SHAE MEDICAL, PLLC (NPI 1053084202) is a healthcare organization registered as a geriatric medicine in Durham, North Carolina and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Garner and lists Brittany A. Mckinney, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1053084202
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSHAE MEDICAL, PLLC
Location Address5306 NC HIGHWAY 55, SUITE 105Durham, NC 27713-7812
Mailing Address5306 Nc Highway 55, Suite 105Durham, NC 27713-7812 · (919) 646-4858 · Fax (919) 679-7112
Phone(919) 646-4858
Fax(919) 679-7112
Organization SubpartNo
Authorized OfficialBrittany A. MckinneyChief Executive Officer · (919) 646-4858
Enumeration DateJuly 25, 2021
Last NPPES UpdateSeptember 11, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1053084202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
5306 NC HIGHWAY 55, Durham, NC 27713
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Secondary Practice Location 1

Location 13200 Waterfield DrGarner, NC 27529-7727 · Phone (919) 646-4858 · Fax (919) 679-7112

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

PARK OPHTHALMOLOGY
Ophthalmology
5306 NC HIGHWAY 55, SUITE 102
DURHAM, NC 27713
Durham County (919) 544-5375
DELISA M. ORDRONNEAU PA-C
Physician Assistant
5306 NC HIGHWAY 55, SUITE 105
DURHAM, NC 27713
Durham County (919) 457-1517
SARAH MIZELLE
Social Worker (Clinical)
5306 NC HIGHWAY 55, SUITE 105
DURHAM, NC 27713
Durham County (919) 457-1517
FELICIA TYSON-JOHNSON
Community/Behavioral Health
5306 NC HIGHWAY 55, STE 105
DURHAM, NC 27713
Durham County (919) 457-1517
CAROL MINNETTE GIBBS MD
Psychiatry & Neurology (Psychiatry)
5306 NC HIGHWAY 55, SUITE 105
DURHAM, NC 27713
Durham County (919) 451-7870
MICHELE ANN BARTS FNP
Nurse Practitioner (Family)
5306 NC HIGHWAY 55
DURHAM, NC 27713
Durham County (877) 279-5960

Frequently Asked Questions

What is SHAE MEDICAL, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1053084202, enumerated as an "organization" on July 25, 2021.

Where is the provider located?

The provider is located at 5306 NC HIGHWAY 55 SUITE 105 DURHAM, NC 27713 and the phone number is (919) 646-4858.

What is the provider's specialty?

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.