SHANNON MARIE HERNDON
NPI 1316575715
Internal Medicine - Rheumatology in Chapel Hill, NC

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
100 EASTOWNE DR FL 1-4, CHAPEL HILL, NC 27514(984) 215-5556(984) 974-1116 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Marie Herndon NPPES

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

SHANNON MARIE HERNDON (NPI 1316575715) is an individual rheumatology provider in Chapel Hill, North Carolina, licensed in North Carolina (2025-01817) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2020).

NPPES Registry Identity

NPI1316575715
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSHANNON MARIE HERNDON
Location Address100 EASTOWNE DR FL 1-4Chapel Hill, NC 27514-2286
Mailing Address101 Manning DrChapel Hill, NC 27514-4220 · (984) 974-1000
Fax(984) 974-1116
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1316575715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NC · 2025-01817
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
100 EASTOWNE DR FL 1-4, Chapel Hill, NC 27514

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Marie Herndon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638668734
PECOS Enrollment IDI20251029002522
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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Herndon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shannon Herndon's NPI number?

The NPI number for Shannon Herndon is 1316575715. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Shannon Herndon located?

Shannon Herndon practices at 100 Eastowne Dr Fl 1-4, Chapel Hill, NC 27514. The listed phone number is (984) 215-5556.

What is Shannon Herndon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shannon Herndon enrolled in Medicare?

Yes. Shannon Herndon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Herndon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Herndon reassigns Medicare benefits to University Of North Carolina At Chapel Hill (Chapel Hill, NC). The 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 Shannon Herndon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Herndon accept?

Health plans from UnitedHealthcare list Shannon Herndon 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.

Is Shannon Herndon affiliated with any hospitals?

According to CMS data, Shannon Herndon is affiliated with Unc Hospitals and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Herndon was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.