Active NPI
Angel Sheree Tennyson
- Pathology Specialist/Technologist
- North Augusta, SC
National Provider Identifier
1124979851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- Practice address
- 336 Georgia Ave Ste 106
PMB 176
North Augusta, SC 29841 - Phone
- (737) 781-8066
- NPI assigned
- Feb 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | Primary |
Addresses
Primary practice location
336 Georgia Ave Ste 106
PMB 176
North Augusta, SC 29841
Mailing address
336 Georgia Ave Ste 106
PMB 176
North Augusta, SC 29841
Phone (737) 781-8066
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1124979851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 GEORGIA AVE STE 106",
"address_2": "PMB 176",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29841",
"telephone_number": "737-781-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 GEORGIA AVE STE 106",
"address_2": "PMB 176",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29841",
"telephone_number": "737-781-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNYSON",
"first_name": "ANGEL",
"middle_name": "SHEREE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.