Fallon S Shaw, AGPCNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5025087 Issued in NC

Practice address

1425 E Fire Tower Rd Ste 100
Greenville, NC 27858-4131

Phone

(252) 758-5888

NPI assigned

Aug 8, 2026

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Med Careeast P a

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1093904278
  NPD (past)

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1841114006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 SCHOOL VIEW DR",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278287711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E FIRE TOWER RD STE 100",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584131",
            "telephone_number": "252-758-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "FALLON",
        "middle_name": "S",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5025087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahnaz Sharmin, M.D.
• Shykira Sharp, LCMHCA
• Anna Maness Sharpe, CRNA
• Kaitlyn Bradshaw Sharpe, BCBA
• Momin Shaukat, MD
• Karen L Shaw, D.D.S.
• Lucy Shaw, LAT, ATC
• Raymond Shaw, CSAC SAP
• Robert A. Shaw, M.D.
• Saima Hamid Shawl, MD

• Primary Care Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.