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KRISTA L SHAW CCADC
NPI 1083586309
Preventive Medicine - Addiction Medicine in Charlotte, NC

Active since September 18, 2025
4949A ALBEMARLE RD, CHARLOTTE, NC 28205(918) 289-0270 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krista L Shaw Ccadc NPPES

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

KRISTA L SHAW CCADC (NPI 1083586309) is an individual addiction medicine provider in Charlotte, North Carolina, licensed in North Carolina (CADC-29393) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1083586309
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameKRISTA L SHAWCredential: CCADC
Location Address4949A ALBEMARLE RDCharlotte, NC 28205-6617
Mailing Address132 Forest Oaks DrIron Station, NC 28080-9613 · (918) 289-0270
Phone(918) 289-0270
Sole ProprietorNo
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1083586309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in NC · CADC-29393
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
4949A ALBEMARLE RD, Charlotte, NC 28205
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Other Providers at the Same Location NPPES 3

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

JAMES SCOTT GALLAGHER
Counselor (Addiction (Substance Use Disorder))
4949A ALBEMARLE RD
CHARLOTTE, NC 28205
Mecklenburg County (704) 532-4262
ANDREA WHITE FERRAGE FNP-C
Nurse Practitioner (Family)
4949A ALBEMARLE RD
CHARLOTTE, NC 28205
Mecklenburg County (704) 532-4262
ZIERRA SHAYLA CHAMBERS LCASA
Counselor (Addiction (Substance Use Disorder))
4949A ALBEMARLE RD
CHARLOTTE, NC 28205
Mecklenburg County (704) 532-4262

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 Krista Shaw's NPI number?

The NPI number for Krista Shaw is 1083586309. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Krista Shaw located?

Krista Shaw practices at 4949A Albemarle Rd, Charlotte, NC 28205. The listed phone number is (918) 289-0270.

What is Krista Shaw's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Krista Shaw was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.