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
- Primary practice
-
322 MULBERRY ST SW, SUITE A
LENOIR, NC 286455702
(828) 757-6460
fax (828) 759-4901
Credentials & registration
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538365184. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $16.11 |