PHELPS FAMILY PRACTICE, PLLC
NPI 1285830414
Nurse Practitioner - Family in Shallotte, NC

Active since June 25, 2007
204 SMITH AVE, SHALLOTTE, NC 28470(910) 842-2443 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phelps Family Practice, Pllc NPPES

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

PHELPS FAMILY PRACTICE, PLLC (NPI 1285830414) is a healthcare organization registered as a family in Shallotte, North Carolina and active in the NPI registry since June 2007. The organization lists Shannon Bardin Phelps, Owner, as its authorized official.

NPPES Registry Identity

NPI1285830414
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePHELPS FAMILY PRACTICE, PLLC
Location Address204 SMITH AVEShallotte, NC 28470-4458
Mailing AddressPo Box 1369Shallotte, NC 28459-1369
Organization SubpartNo
Authorized OfficialShannon Bardin PhelpsOwner · (910) 842-2443
Enumeration DateJune 25, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1285830414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
204 SMITH AVE, Shallotte, NC 28470

Other Identifiers 1

Other201344NC · Approval Number,bom

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Physician Assistant
204 SMITH AVE
SHALLOTTE, NC 28470
Psychiatry & Neurology (Neurology)
204 SMITH AVE
SHALLOTTE, NC 28470
Internal Medicine (Endocrinology, Diabetes & Metabolism)
204 SMITH AVE
SHALLOTTE, NC 28470
Internal Medicine
204 SMITH AVE
SHALLOTTE, NC 28470

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 Phelps Family Practice, PLLC's NPI number?

The NPI number for Phelps Family Practice, PLLC is 1285830414. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Phelps Family Practice, PLLC located?

Phelps Family Practice, PLLC is located at 204 Smith Ave, Shallotte, NC 28470. The listed phone number is (910) 842-2443.

What is Phelps Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Phelps Family Practice, PLLC was last updated on March 7, 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.