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MRS. SHATAZAMINE SHANNETTE GALLOWAY AGPCNP-C
NPI 1104601871
Nurse Practitioner - Adult Health in Newton, NC

Active since August 30, 2023PECOS Enrolled
3975 ROBINSON RD, NEWTON, NC 28658(828) 466-0466 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, Dec 4, 2024, Aug 7, 2024 and 4 more (7 updates tracked since 2023).

About Mrs. Shatazamine Shannette Galloway Agpcnp-c NPPES

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

MRS. SHATAZAMINE SHANNETTE GALLOWAY AGPCNP-C (NPI 1104601871) is an individual adult health provider in Newton, North Carolina, licensed in North Carolina (5020177) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104601871
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SHATAZAMINE SHANNETTE GALLOWAYCredential: AGPCNP-C
Location Address3975 ROBINSON RDNewton, NC 28658-9715
Mailing Address3975 Robinson RdNewton, NC 28658-9715 · (828) 466-0466
Phone(828) 466-0466
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 30, 2023
Last NPPES UpdateAugust 20, 20267 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1104601871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5020177
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5020177 (NC)
3975 ROBINSON RD, Newton, NC 28658
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shatazamine Shannette Galloway Agpcnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173062858
PECOS Enrollment IDI20240826002745
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

6

Medicare enrollment records show Shatazamine Galloway reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina Caring Serious Illness, LLC
Same address
Hospice and Palliative Medicine
3975 ROBINSON RD
Newton, NC 28658
  • Reassigned Medicare billing, North Carolina enrollment
  • 49 clinicians in this Medicare group
NPI 1083449680 (828) 466-0466
Eventus Wh PLLC Care, LLC
38 mi
Family Medicine
2810 COLISEUM CENTRE DR STE 120
Charlotte, NC 28217
  • Reassigned Medicare billing, North Carolina enrollment
  • 191 clinicians in this Medicare group
NPI 1639990658 (855) 743-2247
Eventus Wh Southeast, LLC
41 mi
Geriatric Medicine
212 S TYRON ST STE 1000
Charlotte, NC 28281
  • Reassigned Medicare billing, North Carolina enrollment
  • 264 clinicians in this Medicare group
NPI 1487494811 (855) 743-2247
Eventus Value Care, LLC
43 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 187 clinicians in this Medicare group
NPI 1013680503 (855) 743-2247
Eventus Wholehealth, PLLC
43 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 312 clinicians in this Medicare group
NPI 1548759392 (855) 743-2247
Eventus Wh Southeast - South Carolina, LLC
108 mi
Nurse Practitioner
2 OFFICE PARK CT STE 103
Columbia, SC 29223
  • Reassigned Medicare billing, North Carolina enrollment
  • 193 clinicians in this Medicare group
NPI 1790503571 (855) 743-2247

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28658 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DUSTIN FORD FNP
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
MR. ERIC WAYNE PARKER FNP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
ROBIN JOHNSON SHERRILL FNP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
MISS PAIGE ALEXIS BORTNICK FNP
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
MISTY SETZER CLINE FNP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
CAROLINA CARING SERIOUS ILLNESS, LLC
Family Medicine (Hospice and Palliative Medicine)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
CHERYL ANNE STACY NP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
EMILY GRACE BUTLER FNP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466

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 Shatazamine Galloway's NPI number?

The NPI number for Shatazamine Galloway is 1104601871. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Shatazamine Galloway located?

Shatazamine Galloway practices at 3975 Robinson Rd, Newton, NC 28658. The listed phone number is (828) 466-0466.

What is Shatazamine Galloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shatazamine Galloway enrolled in Medicare?

Yes. Shatazamine Galloway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shatazamine Galloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shatazamine Galloway reassigns Medicare benefits to 6 organizations: Carolina Caring Serious Illness, LLC (Newton, NC), Eventus Wh PLLC Care, LLC (Charlotte, NC), Eventus Wh Southeast, LLC (Charlotte, NC), Eventus Value Care, LLC (Concord, NC), Eventus Wholehealth, PLLC (Concord, NC) and 1 more organization, listed in the Medicare section above. 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 Shatazamine Galloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shatazamine Galloway accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Shatazamine Galloway 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 Shatazamine Galloway was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.