MEDICARE: SHANNON BRACKETT HEUTS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA 3510	FL
2	363AS0400X	Surgical Physician Assistant	0010-00629	NC
3	363A00000X	Physician Assistant	0010-00629	NC

General Provider Information

NPI Number	:	1326006214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON BRACKETT HEUTS PA-C

Provider Business Mailing Address
First Line	:	6411 WATERS EDGE DR
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27803-8925
Country	:	US
Telephone Number	:	252-442-7462
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 WATERS EDGE DR
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27803-8925
Country	:	US
Telephone Number	:	252-442-7462
Fax Number	:	252-962-6671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	02/21/2022

Similar Medicare Providers

1518991058 — SHANNON BRACKETT HINKLE, PA-C, PLLC
Practice Location Address:

6411 WATERS EDGE DR
ROCKY MOUNT, NC
27803-8925

Practice Phone: 252-442-7462
Practice Fax: 252-446-7463

1699777870 — DR. DAVID MICHAEL LAVELY O.D.
Practice Location Address:

4009 BRASSFIELD DR
ROCKY MOUNT, NC
27803-1529

Practice Phone: 252-451-2270
Practice Fax: 252-451-2931

1588658314 — STUART K TODD MD
Practice Location Address:

1508 JEREMY LN
ROCKY MOUNT, NC
27803-1518

Practice Phone: 252-443-4361
Practice Fax: 252-443-0096

1053386078 — WILLIAM A MUNN PA
Practice Location Address:

10589 EAST NC 97
ROCKY MOUNT, NC
27803

Practice Phone: 252-442-1807
Practice Fax: 252-442-1649

1891764551 — BN HEALTHCARE, LLC
Practice Location Address:

2221 RALEIGH RD
ROCKY MOUNT, NC
27803-3729

Practice Phone: 252-442-4156
Practice Fax: 252-407-8478

1356301105 — JESSICA BRYS-WILSON PAC
Practice Location Address:

10589 E NC 97
ROCKY MOUNT, NC
27803-9208

Practice Phone: 252-442-1807
Practice Fax: 252-442-1649

Directions to “ SHANNON BRACKETT HEUTS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.