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MRS. SHANNON BALLARD CALLAWAY PA-C
NPI 1144224932
Physician Assistant - Medical in Roswell, NM

Active since June 09, 2005PECOS Enrolled
300 W COUNTRY CLUB RD STE 130, ROSWELL, NM 88201(575) 625-2669(575) 624-4632 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, Apr 3, 2024, Dec 7, 2015 (3 updates tracked since 2015).

About Mrs. Shannon Ballard Callaway Pa-c NPPES

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

MRS. SHANNON BALLARD CALLAWAY PA-C (NPI 1144224932) is an individual medical provider in Roswell, New Mexico, licensed in New Mexico (PA2022-0043) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roswell.

NPPES Registry Identity

NPI1144224932
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SHANNON BALLARD CALLAWAYCredential: PA-C
Location Address300 W COUNTRY CLUB RD STE 130Roswell, NM 88201-5249
Mailing Address300 W Country Club Rd Ste 130Roswell, NM 88201-5249 · (575) 625-2669 · Fax (575) 624-4632
Phone(575) 625-2669
Fax(575) 624-4632
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1144224932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in NM · PA2022-0043✔ Licensed in MD · COO2607
300 W COUNTRY CLUB RD STE 130, Roswell, NM 88201
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Other Names 1

Former Name (1)Ms. Shannon Callaway Vickers Pa-c

Secondary Practice Location 1

Location 1601 W Country Club Rd Ste 201Roswell, NM 88201-5225 · Phone (575) 627-0535 · Fax (575) 627-5590

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. Shannon Ballard Callaway Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JEFFREY ASH D.P.M.
Podiatrist
300 W COUNTRY CLUB RD STE 130
ROSWELL, NM 88201
Chaves County (575) 625-2669
MRS. DIANE WRIGHT FNP
Nurse Practitioner (Family)
300 W COUNTRY CLUB RD STE 130
ROSWELL, NM 88201
Chaves County (575) 625-2669
BARRY L CROMER MD
Orthopaedic Surgery
300 W COUNTRY CLUB RD STE 130
ROSWELL, NM 88201
Chaves County (575) 625-2669

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 Shannon Callaway's NPI number?

The NPI number for Shannon Callaway is 1144224932. It was assigned to this individual provider in the NPPES registry on June 9, 2005. The provider is also known as Ms. Shannon Callaway Vickers Pa-C.

Where is Shannon Callaway located?

Shannon Callaway practices at 300 W Country Club Rd Ste 130, Roswell, NM 88201. The listed phone number is (575) 625-2669.

What is Shannon Callaway's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon Callaway enrolled in Medicare?

Yes. Shannon Callaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Callaway was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.