Doctor profile · Federal record

Dr. SHANNON WATERS, PA-C

Physician Assistant · Medical Physician Assistant · LENOIR, NC

  • NPI 1538365184
  • 19 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
322 MULBERRY ST SW, SUITE A
LENOIR, NC 286455702
(828) 757-6460
fax (828) 759-4901

Credentials & registration

NPPES · NUCC
NPI registered
June 2007 — 19 yrs on file
Profile last updated
March 17, 2021
Specialty taxonomy
363A00000X — NUCC code
State license (1)
North Carolina #101692

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1538365184. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 1 $16.11

By nature of payment

Food and Beverage
$16