Healthcare Provider Details

I. General information

NPI: 1316575715
Provider Name (Legal Business Name): SHANNON MARIE HERNDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EASTOWNE DR FL 1-4
CHAPEL HILL NC
27514-2286
US

IV. Provider business mailing address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-5556
  • Fax: 984-974-1116
Mailing address:
  • Phone: 984-974-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number2025-01817
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: