Individual provider Active NPI

Shana L Sullivan, D.C.

  • Chiropractor
  • Greenwood, SC
National Provider Identifier
1003856147
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3109 Issued in SC
Practice address
2410 Hwy 72 221 E
Greenwood, SC 29649-9722
Phone
(864) 223-2236
Fax
(864) 223-2246
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3109 SC Primary

Addresses

Primary practice location

2410 Hwy 72 221 E
Greenwood, SC 29649-9722

Mailing address

PO Box 50091
Greenwood, SC 29649-0019
Phone (864) 223-2236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060630000002 SC Practitioner - Chiropractic 8022020411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Family Chiropractic LLCGroup PAC ID 6204848690, 4 clinicians

Practice addresses (Care Compare)

2410 Hwy 72 221 E
Greenwood, SC 29649-9722
Phone (864) 223-2236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3109SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Active Family Chiropractic LLC Chiropractor CurrentSince Jun 9, 2006 Accepting new patients

Locations

2410 Highway 72 221 E
Greenwood, SC 29649
Phone (864) 223-2236

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003856147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50091",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296490019",
            "telephone_number": "864-223-2236",
            "fax_number": "864-223-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 HWY 72 221 E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499722",
            "telephone_number": "864-223-2236",
            "fax_number": "864-223-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.