Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154813764 Individual Practitioner Female Practitioner

Dr. Shane Megan Sundlie , MD

Pediatrics • Clinton, NC

Professional Overview & Biography Verified Profile Summary

Dr. Shane Sundlie, MD is a registered healthcare professional specializing in Pediatrics in Clinton, NC. Practice services are available at 403 FAIRVIEW ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

403 Fairview St

Clinton, NC 283282399

Telephone 9105926011
Fax 9105920819
Associated Practice Facility / Clinic
🏢 Clinton Medical Clinic, Inc. Facility NPI 1780629154

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Clinton, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Clinton, NC (2422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NC 2021-01125

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Sharry Malpass , DNP, NP-C, FNP-BC

Nurse Practitioner - Family

NPI 1124557616

Doctor of Nursing Practice, Nurse Practitioner (Certified), Family Nurse Practitioner (Board Certified)

Carrie Green , PA-C

Physician Assistant

NPI 1164969614

Physician Assistant (Certified)

NPI 1174262893

Doctor of Medicine (M.D.)

Dr. Ted Bauman , MD

Family Medicine

NPI 1205860970

Doctor of Medicine (M.D.)

Dr. Jamie Weiner , DNP, FNP-C

Nurse Practitioner - Family

NPI 1255016408

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Lauren Aves , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1295337525

CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 08, 2022

Registered at 403 FAIRVIEW ST, CLINTON, NC 283282399 (Tel: 9105926011)

📍
Updated Business Mailing Address July 08, 2022

Registered at 403 FAIRVIEW ST, CLINTON, NC 283282399 (Tel: 9105926011)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2022

Pediatrics (License #2021-01125 in NC)

NPI Profile Active May 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2018

Registered at 701 GROVE RD, GREENVILLE, SC 296054210 (Tel: 8644557895)

📍
Updated Business Mailing Address May 31, 2018

Registered at 701 GROVE RD, GREENVILLE, SC 296054210 (Tel: 8644557895)

👤
Provider Name / Credentials Updated May 31, 2018

Recorded as SHANE SUNDLIE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2018

Pediatrics (License #LL52433 in SC)

🟢
Initial NPI Registration & Enumeration May 31, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Shane Sundlie. Be the first to share your experience!

Sign in to leave a review for Dr. Shane Sundlie

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154813764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2018
Last Update: July 08, 2022
Sole Proprietor: No

Mailing Address

403 Fairview St

Clinton, NC 283282399

Phone: 9105926011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.