Shana Dale Wallace, MD
Neurology with Special Qualifications in Child Neurology Physician · Charlotte, NC
Shana Dale Wallace, MD is a neurology with special qualifications in child neurology physician with a practice address in Charlotte, North Carolina, and NPI 1013040666, issued on Mar 13, 2007. Check the license (North Carolina 200401063, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Shana Dale Wallace
- Credential
- MD
- Primary taxonomy
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License numbers
- 200401063 NC
2004-01063 NC
Self-reported in NPPES; status is on the state search - Practice location
- 1900 Randolph RD, Charlotte, NC 28207
- Phone
- (704) 384-1390
- Enumerated
- Mar 13, 2007
- Record last updated
- Oct 25, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (704) 384-1063
- Medicaid ID
- 5907566 NC
- Medicare enrollment
- Enrolled (PECOS I20180927000218); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest neurology with special qualifications in child neurology physician records → All 55 in North Carolina → Look up another NPI →
Also registered at 1900 Randolph RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Shana Dale Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 200401063Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
81% fewer Medicare Part D claims than the average neurology with special qualifications in child neurology physician in 2024
52 Medicare Part D claims, against an average of 278 among the 900 providers of this specialty who prescribed in Part D. Brand-name drugs were 42% of claims.
Most prescribed
- Epidiolex19 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $17,614.54
39 payments; by number, the most common kind was food and beverage; the largest payer was Supernus Pharmaceuticals, Inc. The 1,195 providers of this specialty with any payment received $5,568.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Novant Health Medical Group, LLCCharlotte, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shana Dale Wallace among 55 neurology with special qualifications in child neurology physician records in North Carolina
Shana Dale Wallace, MD is one of 55 neurology with special qualifications in child neurology physician records with a practice address in North Carolina. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 40% of them.
- NPI issued2007 · 40% of these records are older, 44% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileYes · 51% of these records are
- Graduated2002 · median 2001 among the 28 with a school on file
- Record last updated2020 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0402X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Neurology with Special Qualifications in Child Neurology Physician providers in North Carolina
There are 55 neurology with special qualifications in child neurology physician records in North Carolina.
All 55 in North Carolina → Every provider in Charlotte → Neurology with Special Qualifications in Child Neurology Physician nationwide →
The 8 neurology with special qualifications in child neurology physician records with the nearest ZIP codes
- Cynthia Francis Pudukadan, MDCharlotte, NC 282071487897310
- Mohammed Shahnawaz, M.D.Charlotte, NC 282071740713189
- Liya Beyderman, MDCharlotte, NC 282101699816017
- Richard Jacobson, MD, PHDCharlotte, NC 282101013968858
- Daniel Bonthius, MDCharlotte, NC 282031962497321
- Femke Horn, MDCharlotte, NC 282031649605031
- Alejandra Stewart, MDCharlotte, NC 282031588897664
- Usha Dayal, MDCharlotte, NC 282771932163516
Common questions
What is Shana Dale Wallace, MD's NPI number?
Shana Dale Wallace, MD's National Provider Identifier (NPI) is 1013040666, issued on Mar 13, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Shana Dale Wallace, MD located?
The NPPES record lists a practice address at 1900 Randolph RD, Charlotte, NC, 28207. Phone: (704) 384-1390. Providers update this record themselves, so call before visiting.
How can I verify Shana Dale Wallace, MD's license?
NPPES lists North Carolina license number 200401063, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shana Dale Wallace, MD prescribe under Medicare Part D?
In 2024, Shana Dale Wallace, MD had 52 Medicare Part D claims; the average among neurology with special qualifications in child neurology physician prescribers was 278. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.