Individual provider Active NPI

Shalanda Hall, DPM

  • Primary Podiatric Medicine Podiatrist
  • Monroe, NC
National Provider Identifier
1609368117
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
734 Issued in NC
Practice address
3306 W Highway 74 Ste K
Monroe, NC 28110-8695
Phone
(704) 624-7090
Fax
(704) 624-7029
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 734 NC
Foot Surgery Podiatrist 213ES0131X 734 NC
Primary Podiatric Medicine Podiatrist 213EP1101X 734 NC Primary

Addresses

Primary practice location

3306 W Highway 74 Ste K
Monroe, NC 28110-8695

Mailing address

PO Box 25
Marshville, NC 28103-0025
Phone (704) 624-7090

Other practice location 1

119 E Union St
Marshville, NC 28103-1142
Phone (704) 624-7090

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616002428 NC Practitioner - Podiatry 6800146564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 E Union St
Marshville, NC 28103-1142
Phone (704) 624-7090

Hospital & facility affiliations

  • Atrium Health at Home Union Home health agency, Monroe, NC, CCN 347210
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Foot & Ankle Specialists CurrentSince Jul 27, 2023 Accepting new patients
Metrolina Surgical Specialists, PLLC PastSince Feb 16, 2005 Accepting new patients
Wound Management Specialists, LLC PastSince Nov 27, 2024 Accepting new patients

Locations

119 E Union St
Marshville, NC 28103
Phone (704) 624-7090

3306 W Highway 74
Ste K
Monroe, NC 28110

907 Fitzgerald St
Monroe, NC 28112
Phone (704) 226-0531

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1609368117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281030025",
            "telephone_number": "704-624-7090",
            "fax_number": "704-624-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W HIGHWAY 74 STE K",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108695",
            "telephone_number": "704-624-7090",
            "fax_number": "704-624-7029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Union St",
            "address_purpose": "LOCATION",
            "city": "Marshville",
            "state": "NC",
            "postal_code": "281031142",
            "country_code": "US",
            "telephone_number": "704-624-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHALANDA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "734",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "734",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.