Provider Demographics
NPI:1639132111
Name:SHEFLIN, SCOTT MITCHELL (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:MITCHELL
Last Name:SHEFLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 SUNSET FAIRWAYS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7829
Mailing Address - Country:US
Mailing Address - Phone:919-924-6925
Mailing Address - Fax:
Practice Address - Street 1:1251 STAFFORD ST UNIT 6
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-3349
Practice Address - Country:US
Practice Address - Phone:813-596-5726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187321207QS0010X
NC35751207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8975602Medicaid
NC8975602Medicaid
NC2046440HMedicare PIN
NC2046440HMedicare PIN