NPIMap

Individual provider Active NPI

Shannon Maria Keith

  • Nurse Practitioner
  • Hilton Head, SC
National Provider Identifier
1083331763
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27405 Issued in SC
Practice address
25 Hospital Center Blvd
Hilton Head, SC 29926-2738
Phone
(843) 681-6122
NPI assigned
Oct 24, 2022
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27405 SC Primary
Acute Care Nurse Practitioner 363LA2100X 27405 SC

Addresses

Primary practice location

25 Hospital Center Blvd
Hilton Head, SC 29926-2738

Mailing address

1601 Greene St
Columbia, SC 29208-4001

Other practice location 1

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026004230 SC Practitioner - Nurse Practitioner 5698121671 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
Lifesource Prime IncGroup PAC ID 7810336385, 52 clinicians
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5775

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Oct 1, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Oct 1, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 645-8220

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Organizations & group practices 10

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1083331763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GREENE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292084001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262738",
            "telephone_number": "843-681-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "SHANNON",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "27405",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "27405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.