Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Shane Daniels, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1710167168

Charles Shane Daniels, MD is a Pain Management in Wilmington, North Carolina. Graduated from University of Oklahoma College of Medicine in 2004, 22 years ago. Practices with Raleigh Neurosurgical Clinic Inc, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
22
Trained at
University of Oklahoma College of Medicine
Licensed in
CA, NC
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4130 Oleander Dr Ste 100
Wilmington, NC 28403-6844
Phone: (910) 338-3494
Fax: (910) 338-0860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5838 Six Forks Rd Ste 100, Raleigh, NC 27609-3893 — (919) 785-3400

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 2023-01908 (NC)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2023-01908 (NC)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A94985 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 2023-01908 (NC)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 2023-01908 (NC)

Record details

NPI number1710167168
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 13, 2007
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Raleigh Neurosurgical Clinic Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington