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

Individual provider Physician Assistant · NPI 1164390282

Shawn Sudler, PA-S is a Physician Assistant in Clayton, North Carolina. Qualified in 2025, 1 year ago. Practices with Minuteclinic Diagnostic of North Carolina PC, a 207-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
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Practice location Address checks out

11911 Clayton Blvd
Clayton, NC 27520-2144
Phone: (866) 329-2727
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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 0010-16394 (NC)

Record details

NPI number1164390282
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Minuteclinic Diagnostic Of North Carolina Pc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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