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

MS. Shannon Kay Waters, PA-C

Individual provider Physician Assistant · NPI 1538365184

MS. Shannon Kay Waters, PA-C is a Physician Assistant in Lenoir, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

322 Mulberry St SW Ste A
Lenoir, NC 28645-5702
Phone: (828) 757-6460
Fax: (828) 759-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101692 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1538365184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2007
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

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