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

Ezekiel Grant Shepherd

Individual provider Physician Assistant · NPI 1679234330

Ezekiel Grant Shepherd is a Physician Assistant in Cary, North Carolina. Qualified in 2022, 4 years ago. Practices with Fastmed PC, a 176-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

100 Cornerstone Dr
Cary, NC 27519-8453
Phone: (919) 650-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Tilghman Dr, Dunn, NC 28334-5510 — (910) 892-1000
  • 215 Brightwater Dr, Lillington, NC 27546-5156 — (910) 892-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NC)

Record details

NPI number1679234330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cary