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

Mr. Shea Tryon Whittaker

Individual provider Surgical Physician Assistant · NPI 1730734211

Mr. Shea Tryon Whittaker is a Physician Assistant in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1730734211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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