Active NPI
Shelley Anne McGeorge, PHD
- Marriage & Family Therapist
- Columbia, SC
National Provider Identifier
1013958826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1654
- Practice address
- 914 Richland St
Suite 201B
Columbia, SC 29201-2357 - Phone
- (803) 252-5300
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 442 | SC | |
| Marriage & Family Therapist | 106H00000X | 1654 | SC | Primary |
Addresses
Primary practice location
914 Richland St
Suite 201B
Columbia, SC 29201-2357
Mailing address
914 Richland St Ste B101
Columbia, SC 29201-2357
Phone (803) 771-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1654 | SC | MD | Family Medicine Physician |
| 442 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1013958826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 RICHLAND ST STE B101",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012357",
"telephone_number": "803-771-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 RICHLAND ST",
"address_2": "SUITE 201B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012357",
"telephone_number": "803-252-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEORGE",
"first_name": "SHELLEY",
"middle_name": "ANNE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "442",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "1654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.