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

Mrs. Shannon Danielle Martin, PA-C

Individual provider Physician Assistant · NPI 1457654204

Mrs. Shannon Danielle Martin, PA-C is a Physician Assistant in Concord, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2010, 16 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
16
Trained at
Medical University of South Carolina College of Medicine
Licensed in
NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

845 Church St N Ste 203
Concord, NC 28025-4374
Phone: (704) 316-5027
Fax: (704) 316-5028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 416 McCullogh Dr., Charlotte, NC 28262 — (704) 237-4240

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02702 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1457654204
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 17, 2010
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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