Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Shannon R. Jimenez, D.O.

Family Medicine Physician in Goldsboro, NC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568552628

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Registry record

Entity type Individual (Type 1)

Name Dr. Shannon R. Jimenez

Credential D.O.

Sex Female

Practice address Goldsboro, NC, 27530

Phone (919) 735-2478

Fax (919) 739-4809

Enumeration date Oct 12, 2006

Last updated in NPPES Mar 9, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 9900553 (NC) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License S4847 (TX) Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 9900553 (IA) Secondary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
790150C	Medicaid	NC	-
0150C	Other	NC	BLUE CROSS GROUP #
891215K	Medicaid	NC	-
1215K	Other	NC	BLUE CROSS INDIVIDUAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Shannon Jimenez's NPI record?

Cross-check NPI 1568552628 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1568552628 active?

Yes, as of the latest NPPES snapshot, NPI 1568552628 is active (record last updated 2020-03-09).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-09.