Doctor profile · Federal record
Dr. Shana Wallace, MD
Neurology With Special Qualifications in Child Neurology Physician · Pediatric Neurodevelopmental Disabilities Physician · Charlotte, NC
- NPI 1013040666
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1900 Randolph RD, Suite 1010
Charlotte, NC 282071122
(704) 384-1390
fax (704) 384-1063 - Mailing address
-
Po Box 60447
Charlotte, NC 282600447
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- October 25, 2020
- Specialty taxonomy
- 2084N0402X — NUCC code
- State licenses (2)
- North Carolina #200401063 · North Carolina #2004-01063
- Medicaid
- NC #5907566
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013040666. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17,615
Transactions
39
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, Inc. | 27 | $17,202.70 | |
| UCB, Inc. | 11 | $395.12 | |
| CATALYST PHARMACEUTICALS, INC. | 1 | $16.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$510
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Mirtazapine | Generic | 13 | 0 | $510 |
Frequently asked questions
What is Dr. Shana Wallace's medical specialty?
Dr. Shana Wallace practices Neurology With Special Qualifications in Child Neurology Physician in Charlotte, NC.
Where does Dr. Shana Wallace practice?
Dr. Shana Wallace practices at 1900 Randolph RD, Charlotte, NC 282071122. Office phone: 7043841390.
What is Dr. Shana Wallace's NPI?
Dr. Shana Wallace's National Provider Identifier (NPI) is 1013040666, issued by NPPES.