MRS. SHANNON DANIELLE MARTIN PA-C
NPI 1457654204
Physician Assistant in Concord, NC

Q: What is Shannon Martin's NPI number?

The NPI number for Shannon Martin is 1457654204. It was assigned to this individual provider in the NPPES registry on December 17, 2010. The provider is also known as Miss Shannon Danielle Martin Pa-C.

Q: What is Shannon Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Martin was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 17, 2010PECOS EnrolledAccepts Medicare Assignment

845 CHURCH ST N STE 203, CONCORD, NC 28025(704) 316-5027(704) 316-5028 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Mar 4, 2020, Mar 26, 2018 (3 updates tracked since 2018).

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About Mrs. Shannon Danielle Martin Pa-c NPPES

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

MRS. SHANNON DANIELLE MARTIN PA-C (NPI 1457654204) is an individual physician assistant in Concord, North Carolina, licensed in North Carolina (0010-02702) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Medical University Of South Carolina College Of Medicine (2010).

NPPES Registry Identity

NPI1457654204

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. SHANNON DANIELLE MARTINCredential: PA-C

Location Address845 CHURCH ST N STE 203Concord, NC 28025-4374

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-5027 · Fax (704) 316-5028

Phone(704) 316-5027

Fax(704) 316-5028

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2010

Enumeration DateDecember 17, 2010

Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1457654204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-02702

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

845 CHURCH ST N STE 203, Concord, NC 28025

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Other Names 1

Former Name (1)Miss Shannon Danielle Martin Pa-c

Secondary Practice Location 1

Location 1416 McCullogh Dr., Suite 130Charlotte, NC 28262 · Phone (704) 237-4240 · Fax (980) 406-3002

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon Danielle Martin Pa-c 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 ID2769611748

PECOS Enrollment IDI20140218000028

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

57 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

HILLARY FAHYE ALLAN D.O.

Psychiatry & Neurology (Psychiatry)