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Licensee Information

Shawn Michael Wagner - PA-C
101936
Active
No
06/26/1995
11/30/2026

Active Supervisor

NameTypeStatusApprovedInactive
Hutchinson, David Knox, MD MD Active 12/11/2025
Pendley, Emilie Elks, MD MD Active 10/20/2025
Stallings, Leonard Alexander, MD MD Active 03/30/2020
Surles, John William, MD MD Active 10/20/2025
Tripp, Joseph Elliott, MD MD Active 03/23/2022

North Carolina Hospital Admitting Privileges

Location
ECU Health
Vidant Bertie Hospital
Vidant Chowan Hospital
Vidant Edgecombe
Vidant Roanoke-Chowan Hospital

Out of State Active/Inactive Licenses

State
Kentucky
Oklahoma
South Carolina
West Virginia

Out of Country Active/Inactive Licenses

Country
None Reported

Address




Information

Yes
Yes
Yes
Yes
Yes

PA School

SchoolGraduation
Alderson-Broaddus1995

Area of Practice

Area Of PracticePrimary
Emergency MedicineYes
Family Medicine 

Current Membership in Medical Professional Organizations

Membership
American Academy of Physician Assistants
North Carolina Academy of Physician Assistants
Society of Emergency Medicine Physician Assistants

Honors & Awards

Honor/AwardGiven ByDate
Distinguished FellowAmerican Academy of Physician Assistants2009

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
Adjunct Profession of Physician Assistant StudiesEast Carolina University Greenville, NC, US

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 8/20/2026 6:23:23 PM

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