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

Shawn Montgomery Rayburn, PA

Individual provider Physician Assistant · NPI 1205169547

Shawn Montgomery Rayburn, PA is a Physician Assistant in Greensboro, North Carolina. Graduated from Wake Forest University School of Medicine in 1987, 39 years ago. Practices with Moses Cone Physician Services, Inc, a 398-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1307 W Wendover Ave
Greensboro, NC 27408-8117
Phone: (336) 832-3110
Fax: (336) 832-3111
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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 101052 (NC)

Record details

NPI number1205169547
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2009
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Moses Cone Physician Services, Inc — 398 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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