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

Shannon M. Roche, DO

Individual provider Family Medicine Physician · NPI 1023470267

Shannon M. Roche, DO is a Family Practice in Charlotte, North Carolina. Graduated from West Virginia School of Osteopathic Medicine in 2016, 10 years ago. Practices with Avance Care PA, a 244-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
10
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
NC
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7903 Providence Rd Ste 100
Charlotte, NC 28277-9763
Phone: (704) 316-4460
Fax: (704) 316-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 26 Queen St, Worcester, MA 01610-2473 — (508) 334-1000
  • 26 Queen St, Worcester, MA 01610-2473 — (508) 334-1000
  • 8420 University Exec Park Dr Ste 850, Charlotte, NC 28262 — (704) 316-1750

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2019-00816 (NC)

Record details

NPI number1023470267
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2016
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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