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SHANE SULLIVAN
NPI 1184339699
Physical Medicine & Rehabilitation - Sports Medicine in Durham, NC

Active since January 18, 2023
4221 GARRETT RD, DURHAM, NC 27707(919) 937-9607 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Sullivan NPPES

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

SHANE SULLIVAN (NPI 1184339699) is an individual sports medicine provider in Durham, North Carolina, licensed in North Carolina (P21873) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1184339699
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameSHANE SULLIVAN
Location Address4221 GARRETT RDDurham, NC 27707-3467
Mailing Address1611 Chesborough RdWinston Salem, NC 27127-7317 · (336) 409-6320
Phone(919) 937-9607
Sole ProprietorYes
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1184339699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in NC · P21873
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
4221 GARRETT RD, Durham, NC 27707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 2

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

ACTIVEDGE FITNESS AND SPORTS PERFORMANCE, INC.
Physical Therapist (Orthopedic)
4221 GARRETT RD, SUITE 1-2
DURHAM, NC 27707
Durham County (919) 493-1204
LIBERTY MEDICAL SPECIALTIES, INC
Durable Medical Equipment & Medical Supplies
4221 GARRETT RD, UNIT # 10
DURHAM, NC 27707
Durham County (919) 490-0145

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 Shane Sullivan's NPI number?

The NPI number for Shane Sullivan is 1184339699. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Shane Sullivan located?

Shane Sullivan practices at 4221 Garrett Rd, Durham, NC 27707. The listed phone number is (919) 937-9607.

What is Shane Sullivan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

What insurance does Shane Sullivan accept?

Health plans from Blue Cross and Blue Shield of NC list Shane Sullivan 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 Shane Sullivan was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.