Shae Medical, PLLC
NPI 1053084202 · Geriatric Medicine (Family Medicine) Physician · Durham, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shae Medical, PLLC is a Geriatric Medicine (Family Medicine) Physician organization in Durham, NC (NPI 1053084202).
Provider details
- NPI number
- 1053084202
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brittany Mckinney, Chief Executive Officer(919) 646-4858
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3200 Waterfield DrGarner, NC 27529-7727Phone: (919) 646-4858Fax: (919) 679-7112
Registry dates
- Enumerated
- 2021-07-25
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Shae Medical, PLLC's NPI number?
- Shae Medical, PLLC's National Provider Identifier (NPI) is 1053084202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shae Medical, PLLC?
- Shae Medical, PLLC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Shae Medical, PLLC located?
- Shae Medical, PLLC's practice location on file with NPPES is 5306 Nc Highway 55, Durham, NC 27713-7812.
- What is Shae Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Shae Medical, PLLC is (919) 646-4858.
- Does Shae Medical, PLLC accept Medicare?
- Shae Medical, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shae Medical, PLLC?
- The authorized official listed on Shae Medical, PLLC's NPPES record is Brittany Mckinney, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shae Medical, PLLC's NPI active?
- Yes — Shae Medical, PLLC's NPI (1053084202) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.