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

Individual provider Physician Assistant · NPI 1649989757

Hunter Grant Shore, PHYSICIANASSISTANT is a Physician Assistant in Lenoir, North Carolina. Qualified in 2022, 4 years ago. Practices with Dlp Frye Medical Group LLC, a 126-clinician group and accepts Medicare assignment.

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

1041 Morganton Blvd SW Ste 100
Lenoir, NC 28645-5605
Phone: (828) 323-2460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1649989757
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address1041 Morganton Blvd Sw # 100, Lenoir, NC 28645-5605

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 Dlp Frye Medical Group Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lenoir