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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: November 01, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shae Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Shae Medical, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Taylor Goodnough, DO
Family Practice
NPI 1598745325
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
(919) 646-4858
✔ PECOS✔ Accepts MedicareSame address
Cathleen Medellin
Nurse Practitioner
NPI 1154891646
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
(337) 991-9276
✔ PECOS✔ Accepts MedicareSame address
Cathy Heffner, M.D.
Family Practice
NPI 1598803173
2511 OLD CORNWALLIS RD SUITE 200
Durham, NC 27713
(919) 932-5700
✔ PECOS✔ Accepts Medicare9.8 mi
Sophie Austin
Nurse Practitioner
NPI 1629691761
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
(919) 646-4858
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shae Medical, PLLC's NPI number?

The NPI number for Shae Medical, PLLC is 1053084202. It was assigned to this organization in the NPPES registry on July 25, 2021.

Where is Shae Medical, PLLC located?

Shae Medical, PLLC is located at 5306 Nc Highway 55 Suite 105, Durham, NC 27713. The listed phone number is (919) 646-4858.

What is Shae Medical, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Shae Medical, PLLC enrolled in Medicare?

Yes. Shae Medical, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shae Medical, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Shae Medical, PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shae Medical, PLLC was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.