Individual provider Active NPI

Shaylar Padgett

  • Allergy & Immunology Physician
  • Greensboro, NC
National Provider Identifier
1225397516
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2017-01540 Issued in NC
Practice address
522 N Elam Ave
Greensboro, NC 27403-1151
Phone
(336) 373-0936
NPI assigned
May 8, 2012
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2017-01540 NC Primary

Addresses

Primary practice location

522 N Elam Ave
Greensboro, NC 27403-1151

Mailing address

522 N Elam Ave Apt D
Greensboro, NC 27403-1151
Phone (336) 373-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180206000820 NC Practitioner - Allergy/Immunology 4385882554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Davis St
Asheboro, NC 27203-5469
Phone (336) 629-5770

1427 NC Hwy 68 N
Unit a
Oak Ridge, NC 27310-9889
Phone (336) 560-6430

400 N Elm St
High Point, NC 27262-4939
Phone (336) 883-1393

522 N Elam Ave
Greensboro, NC 27403-1151
Phone (336) 373-0936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-01540NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc Current Accepting new patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Dec 4, 2017 Accepting new patients
Moses Cone Affiliated Physicians, Inc. Allergy & Immunology CurrentSince Dec 4, 2017 Accepting new patients
University Pediatric Associates, Inc. Past Accepting new patients

Locations

120 Davis St
Asheboro, NC 27203
Phone (336) 629-5770

1200 N Elm St
#5
Greensboro, NC 27401
Phone (336) 832-5777

522 N Elam Ave
Greensboro, NC 27403
Phone (336) 373-0936

522 N Elam Ave
Apt D
Greensboro, NC 27403

100 Westwood Ave
High Point, NC 27262
Phone (336) 883-1393

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1225397516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N ELAM AVE APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031151",
            "telephone_number": "336-373-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031151",
            "telephone_number": "336-373-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "SHAYLAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2017-01540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.