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

Individual provider Physician Assistant · NPI 1093431736

Patrice Lashay Shaw, PA is a Physician Assistant in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2022, 4 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4618 Country Club Rd
Winston Salem, NC 27104-3520
Phone: (336) 716-3926
Fax: (336) 716-9258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12705 (NC)

Record details

NPI number1093431736
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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