Anderson Shackelford represents hospitals, surgery centers, home health and hospice providers, skilled nursing facilities (SNFs), assisted living facilities (ALFs), psychiatric/behavioral health providers and physician groups in all manner of health care regulatory issues and litigation, with a particular focus on Certificate of Need (CON) matters.

Anderson Shackelford represents hospitals, surgery centers, home health and hospice providers, skilled nursing facilities (SNFs), assisted living facilities (ALFs), psychiatric/behavioral health providers and physician groups in all manner of health care regulatory issues and litigation, with a particular focus on Certificate of Need (CON) matters.

His experience in the CON arena includes strategic advice regarding CON applications, as well as mediations, depositions, all phases of discovery, hearings, defense of CON approvals, appellate matters, and progress reports. He also provides regulatory and transactional advice on CON issues and prepares no-review letters and requests for determinations of material compliance and declaratory rulings.

An experienced litigator, Anderson practices before a number of different tribunals. He regularly appears before the North Carolina Office of Administrative Hearings and has litigated Medicare reimbursement issues before the U.S. Department of Health and Human Services Departmental Appeals Board (DAB). Most recently, he arbitrated a contract dispute before the American Health Lawyers Association’s (AHLA) Dispute Resolution Service.

Anderson also maintains a robust health care regulatory practice, advising industry providers on entity formation and structuring, facility licensure, HIPAA issues, and fraud and abuse compliance (including compliance with the state and federal Stark Law and Anti-Kickback Statute, and the federal Civil Monetary Penalty). Further, Anderson assists with regulatory due diligence in health care transactions, both as buyer’s and seller’s counsel. He also serves as local regulatory counsel on health care transactions.

A demonstrated leader, Anderson has served on the Communications Committee of the North Carolina Bar Association's Health Law Section, and recently chaired the Association’s Membership and Diversity Committee. He is also an elected member of the Health Law Council of the Association’s Health Law Section. Further, Anderson was selected as one of 17 lawyers in the Association’s 2020 Leadership Academy.

Active in the community, he volunteers with several organizations, including Stop Hunger Now, the Good Shepherd House, Nourish NC, First Tee of Richmond, and the North Carolina Bar Association’s annual “4ALL” statewide service day. He is also a proud Eagle Scout.

Anderson earned his Juris Doctor degree from Campbell University’s Norman A. Wiggins School of Law, where he was a member of the Campbell Law Review. During law school, he worked as a judicial extern for the Honorable Ann Marie Calabria at the Court of Appeals. He earned his Bachelor of Science degree in psychology and a music minor from the University of North Carolina at Chapel Hill.

  • Defended a hospital’s CON approval to develop an ambulatory surgical facility against challenges from multiple hospitals, one of which litigated the approval to the North Carolina Supreme Court. 
  • Represented a hospital in an American Health Law Association arbitration of a contract dispute with a medical equipment vendor. 
  • Represented an orthopedic physician group seeking a CON for an ambulatory surgical facility against challenges from multiple health care systems. 
  • Represented a home health agency against a bid from a competing agency in a two-week CON contested case hearing. 
  • Represented a physician practice against the Centers for Medicare and Medicaid Services (CMS) in a Medicare reimbursement dispute. 
  • Assisted with regulatory due diligence in a real estate investment trust’s (REIT) $100 million acquisition of a portfolio of ALFs across multiple states. 
  • Served as local regulatory counsel to a national physician practice group in its $25 million acquisition of practice groups located in North Carolina. 
  • Advised a post-acute provider on licensure strategy as it commenced hospice operations in North Carolina.