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AMANDA DALE-SHALL
NPI 1033222864
Pediatrics - Pediatric Allergy/Immunology in Charlotte, NC

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2019, Jan 16, 2019, Jan 4, 2019 and 6 more (9 updates tracked since 2018).

About Amanda Dale-shall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA DALE-SHALL (NPI 1033222864) is an individual pediatric allergy/immunology provider in Charlotte, North Carolina, licensed in North Carolina (2007-00714) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Toledo Medical College (2001).

NPPES Registry Identity

NPI1033222864
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameAMANDA DALE-SHALL
Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866
Mailing Address1001 Blythe BlvdCharlotte, NC 28203-5866
Phone(704) 381-8840
Sole ProprietorNo
Medical School CMSToledo Medical CollegeGraduated 2001
Enumeration DateAugust 16, 2006
Last NPPES UpdateFebruary 12, 20199 updates tracked since enumeration
✔ NPI 1033222864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in NC · 2007-00714
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Dale-shall is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608961610
PECOS Enrollment IDI20071005000509
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Dale-shall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Medical Center
Same address
Pediatric Hematology-Oncology
1001 BLYTHE BLVD, STE 601A
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1457695454 (704) 381-9900
The Charlotte-Mecklenburg Hospital Authority
0.1 mi
Gastroenterology
1025 MOREHEAD MEDICAL DR, STE 300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1992173165 (704) 355-4593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Dale-shall's NPI number?

The NPI number for Amanda Dale-shall is 1033222864. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Amanda Dale-shall located?

Amanda Dale-shall practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.

What is Amanda Dale-shall's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Amanda Dale-shall enrolled in Medicare?

Yes. Amanda Dale-shall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Dale-shall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dale-shall reassigns Medicare benefits to 2 organizations: Carolinas Medical Center (Charlotte, NC) and The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Dale-shall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Dale-shall accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Amanda Dale-shall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Dale-shall was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.