Individual provider Active NPI

Shannon Wessel, MD

  • Dermatology Physician
  • Charleston, SC
National Provider Identifier
1114772910
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
95106 Issued in SC
Practice address
135 Rutledge Ave # Msc578
Charleston, SC 29425-6205
Phone
(843) 792-5858
NPI assigned
Apr 23, 2024
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 95106 SC Primary

Addresses

Primary practice location

135 Rutledge Ave # Msc578
Charleston, SC 29425-6205

Mailing address

169 Ashley Avenue
Room 202 Main Hospital Msc333
Charleston, SC 29425-8905
Phone (843) 876-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241028003787 AZ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7214460310
I20250920000043 SC Order and Referring Only - DermatologyPractitioner - Dermatology 7214460310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95106SCMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: swessel530641@direct.musc.edu

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1114772910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVENUE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RUTLEDGE AVE # MSC578",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294256205",
            "telephone_number": "843-792-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "95106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.