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

Shannon Marie Kenny

Individual provider Physician Assistant · NPI 1033807052

Shannon Marie Kenny is a Physician Assistant in Concord, North Carolina. Qualified in 2023, 3 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
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Practice location Address checks out

200 Medical Park Dr Ste 500
Concord, NC 28025-0946
Phone: (704) 403-4980
Fax: (704) 403-4981
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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 4864 (SC)

Record details

NPI number1033807052
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Concord