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Licensee Information

Shane Xiong - DO
2021-02392
Active
No
07/16/2021
06/26/2027

Active Supervisees

NameTypeStatusApprovedInactive
Acosta, Ernesto Antonio Nurse Practitioner Active 04/22/2026
Nebosky-Diaz, Cassandra Physician Assistant Active 09/11/2024
Ohanian, David Eric Physician Assistant Active 06/17/2026

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported

Address

Novant Health Thomasville Medical Center
207 Old Lexington Rd
Thomasville, NC 27360
336-472-2000

Information

Medical School

SchoolGraduation
Edward Via College of Osteopathic Medicine Carolinas [Spartanburg, SC]2018

Post Graduate Training

"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)

InstitutionSpecialtyState, CountryTraining ProgramLast Year
Southeastern HealthEmergency Medicine NC, US Residency2022

Current Board Certification and Year of Certification/Recertification

Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.

Primary/SubspecialtyYear
Emergency Medicine2024

Area of Practice

Area Of PracticePrimary
Emergency MedicineYes

Current Membership in Medical Professional Organizations

Membership
None Reported

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

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 7/29/2026 6:56:30 AM

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