Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Shatazamine Galloway's specialty?

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

Active since August 30, 2023PECOS Enrolled

3975 ROBINSON RD, NEWTON, NC 28658(828) 466-0466 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Aug 7, 2024, Jul 12, 2024 and 3 more (6 updates tracked since 2023).

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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, is affiliated with Carolinas Medical Center-northeast, 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 UpdateJune 15, 20266 updates tracked since enumeration

NPPES CertifiedJune 15, 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 Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

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)