Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krista L Shaw, CCADC

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1083586309

Krista L Shaw, CCADC is an Addiction Medicine (Preventive Medicine) Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

4949A Albemarle Rd
Charlotte, NC 28205-6617
Phone: (918) 289-0270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence CADC-29393 (NC)

Record details

NPI number1083586309
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCADC
Sole proprietorNo
NPI enumeratedSeptember 18, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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