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

Mrs. Shannon Ballard Callaway, PA-C

Individual provider Medical Physician Assistant · NPI 1144224932

Mrs. Shannon Ballard Callaway, PA-C is a Medical Physician Assistant in Roswell, New Mexico. Works from 2 locations. Licensed in Maryland and New Mexico.

Licensed in
MD, NM
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 W Country Club Rd Ste 130
Roswell, NM 88201-5249
Phone: (575) 625-2669
Fax: (575) 624-4632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 W Country Club Rd Ste 201, Roswell, NM 88201-5225 — (575) 627-0535

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2022-0043 (NM)
Medical Physician Assistant Taxonomy 363AM0700X · Licence COO2607 (MD)

Record details

NPI number1144224932
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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