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

Shannon Ashley Watterson, PA

Individual provider Physician Assistant · NPI 1518461557

Shannon Ashley Watterson, PA is a Physician Assistant in Greensboro, North Carolina. Qualified in 2017, 9 years ago. Practices with Greensboro Radiology PA, a 235-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone: (336) 274-6682
Fax: (336) 274-8097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Cabarrus Ave E, Concord, NC 28025-3699 — (888) 849-7379

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08066 (NC)

Record details

NPI number1518461557
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Greensboro Radiology Pa — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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