Doctor profile · Federal record
Dr. Mallory Shatlock, Nurse Practitioner
Nurse Practitioner · Acute Care Nurse Practitioner · Winston Salem, NC
- NPI 1548728249
- Accepts Medicare
- 6 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
190 Kimel Park Dr Ste 155
Winston Salem, NC 271036946
(336) 765-6637
fax (336) 765-6964 - Additional location
-
3535 Grandview Pkwy Ste 150
Birmingham, AL 352432027
(205) 250-6805 - Mailing address
-
Po Box 60447
Charlotte, NC 282600447
Credentials & registration
- NPI registered
- March 2019 — 7 yrs on file
- Profile last updated
- December 30, 2024
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- North Carolina #5021115 · Alabama #1-159191
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548728249. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$346
Transactions
8
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 3 | $163.14 | |
| Boston Scientific Corporation | 4 | $125.36 | |
| Medtronic, INC. | 1 | $57.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
36
Patients
11
Total drug cost
$638
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methocarbamol | Generic | 25 | 11 | $178 |
| Levetiracetam | Generic | 11 | 0 | $460 |
Frequently asked questions
What is Dr. Mallory Shatlock's medical specialty?
Dr. Mallory Shatlock practices Nurse Practitioner in Winston Salem, NC.
Where does Dr. Mallory Shatlock practice?
Dr. Mallory Shatlock practices at 190 Kimel Park Dr Ste 155, Winston Salem, NC 271036946. Office phone: 3367656637.
What is Dr. Mallory Shatlock's NPI?
Dr. Mallory Shatlock's National Provider Identifier (NPI) is 1548728249, issued by NPPES.
Does Dr. Mallory Shatlock accept Medicare assignment?
Yes. Dr. Mallory Shatlock accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.