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

Dr. Kerry Mark Shafran, MD

Individual provider Dermatology Physician · NPI 1740394543

Dr. Kerry Mark Shafran, MD is a Dermatology in Cornelius, North Carolina. Graduated from Wake Forest University School of Medicine in 1986, 40 years ago. Practices with Skin Surgery Center PA, a 71-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
40
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2006
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

17039 Kenton Dr Ste 100
Cornelius, NC 28031-5776
Phone: (704) 896-8837
Fax: (704) 896-8892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 39997 (NC)

Record details

NPI number1740394543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021
Mailing address17039 Kenton Dr Ste 100, Cornelius, NC 28031-5776

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Skin Surgery Center Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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