Shelby Paige Grant, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5021565 Issued in NC

Practice address

15640 Don Lochman LN Ste a
Charlotte, NC 28277-4793

Phone

(704) 540-1640

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ballantyne Medical Associates PLLCGroup PAC ID 6305949223, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ballantyne Medical Associates PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1184776130
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1457164279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 DON LOCHMAN LN STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774793",
            "telephone_number": "704-540-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 DON LOCHMAN LN STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774793",
            "telephone_number": "704-540-1640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3541 Randolph Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282115122",
            "country_code": "US",
            "telephone_number": "704-523-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SHELBY",
        "middle_name": "PAIGE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Grant
• Maria Janae Grant
• Marissa Carey Grant, MA, LCMHCA, NCC
• Micheala Keisha Grant, LMT
• Michelle Julittee Grant
• Kelly D Grantham, OTR/L
• Graper Cosmetic Surgery
• Robert Gordon Graper, MD
• Lauren Reddy Grappone, PTA
• Kathleen Grass, MSW,LCSWA

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.