Individual provider Active NPI

Catherine Dewald Shaw, PA-C

  • Physician Assistant
  • Easley, SC
National Provider Identifier
1114598950
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4429 Issued in SC
Practice address
115 Whitmire Rd
Easley, SC 29640-1426
Phone
(864) 855-2411
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4429 SC Primary
Physician Assistant 363A00000X 0010-11421 NC

Addresses

Primary practice location

115 Whitmire Rd
Easley, SC 29640-1426

Mailing address

115 Whitmire Rd
Easley, SC 29640-1426
Phone (864) 855-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0010-11421NCMDPhysician Assistant
4429SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Easley Head & Neck Surgery, PA CurrentSince Aug 17, 2025 Accepting new patients

Locations

115 Whitmire Rd
Easley, SC 29640
Phone (864) 855-2411

Interoperability endpoints

  • Direct secure messaging: catherineshaw@rpf.allscriptsdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.125004
  • Direct secure messaging: catherinedewald@lumbertonc.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1114598950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WHITMIRE RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401426",
            "telephone_number": "864-855-2411",
            "fax_number": "864-855-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WHITMIRE RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401426",
            "telephone_number": "864-855-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CATHERINE",
        "middle_name": "DEWALD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4429",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.