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SHANA DANETTE JAMES-NZAMBELE MD
NPI 1932152121
Family Medicine in Gastonia, NC

Active since May 18, 2006PECOS Enrolled
93.24/100
CMS Quality Rating
111 E THIRD AVE, GASTONIA, NC 28052(704) 874-3300 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shana Danette James-nzambele Md NPPES

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

SHANA DANETTE JAMES-NZAMBELE MD (NPI 1932152121) is an individual family medicine provider in Gastonia, North Carolina, licensed in North Carolina (9601158) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Howard University College Of Medicine (1995).

NPPES Registry Identity

NPI1932152121
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANA DANETTE JAMES-NZAMBELECredential: MD
Location Address111 E THIRD AVEGastonia, NC 28052-4343
Mailing Address200 E Second AveGastonia, NC 28052-4358 · (704) 874-1904
Phone(704) 874-3300
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1995
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 21, 2019
✔ NPI 1932152121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 9601158✔ Licensed in SC · 20238
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 E THIRD AVE, Gastonia, NC 28052
Open in Google Maps ↗

Other Identifiers 2

Medicaid202382SC
Medicaid89129VYNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Shana Danette James-nzambele Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446386155
PECOS Enrollment IDI20100406000549
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 Reassignment

Medicare enrollment records show Shana James-nzambele reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gaston Family Health Services, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
111 E 3RD AVE
Gastonia, NC 28052
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1548389125 (704) 874-3300

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 3

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
79 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
45 services27 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
20 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28052 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers46 claims124 services$4.51 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.92 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
1 supplier12 claims350 services$6.00 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier11 claims140 services$5.50 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier13 claims1,125 services$0.20 avg. paid by Medicare
Skin barrier; solid, 6 x 6 or equivalent, each A5121
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$6.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TAMMY S. PALUMBO RD, LDN, CDE
Dietitian, Registered
111 E THIRD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
MRS. AMY PARR SHORTRIDGE FNP-C
Nurse Practitioner (Family)
111 E THIRD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300
JEAN LAZENBY BENTON FNP-C
Nurse Practitioner
111 E THIRD AVE
GASTONIA, NC 28052
Gaston County (704) 874-3300

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 Shana James-nzambele's NPI number?

The NPI number for Shana James-nzambele is 1932152121. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Shana James-nzambele located?

Shana James-nzambele practices at 111 E Third Ave, Gastonia, NC 28052. The listed phone number is (704) 874-3300.

What is Shana James-nzambele's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shana James-nzambele enrolled in Medicare?

Yes. Shana James-nzambele is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shana James-nzambele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana James-nzambele reassigns Medicare benefits to Gaston Family Health Services, Inc. (Gastonia, NC). The 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 Shana James-nzambele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shana James-nzambele accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Shana James-nzambele 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.

Is Shana James-nzambele affiliated with any hospitals?

According to CMS data, Shana James-nzambele is affiliated with Atrium Health Cleveland and Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shana James-nzambele was last updated on October 21, 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.