Active NPI
Shellie Chapman White, NP
- Family Nurse Practitioner
- North Augusta, SC
National Provider Identifier
1144865890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25552
- Practice address
- 140 Allen Court
North Augusta, SC 29860 - Phone
- (803) 510-0007
- Fax
- (803) 510-0144
- NPI assigned
- Nov 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN246301 | GA | |
| Family Nurse Practitioner | 363LF0000X | 25552 | SC | Primary |
Addresses
Primary practice location
140 Allen Court
North Augusta, SC 29860
Mailing address
140 Allen Court
North Augusta, SC 29860
Phone (803) 510-0007
Other practice location 1
1446 Harper St
Augusta, GA 30912-0012
Phone (706) 721-5437
Other practice location 2
215 Town Creek Rd
Aiken, SC 29803-5843
Phone (706) 830-4938
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN246301 | GA | MD | Registered Nurse |
| 25552 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Augusta Pediatrics LLC | Current | Accepting new patients | |
| North Augusta Pediatrics LLC | Past | Accepting new patients |
Locations
140 Allen Ct
North Augusta, SC 29860
Phone (803) 510-0007
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- North Augusta, SC
- NPI 1194496745
-
- Pediatrics Physician
- North Augusta, SC
- NPI 1700068293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1144865890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ALLEN COURT",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29860",
"telephone_number": "803-510-0007",
"fax_number": "803-510-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ALLEN COURT",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29860",
"telephone_number": "803-510-0007",
"fax_number": "803-510-0144"
}
],
"practiceLocations": [
{
"address_1": "1446 Harper St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120012",
"country_code": "US",
"telephone_number": "706-721-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 Town Creek Rd",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298035843",
"country_code": "US",
"telephone_number": "706-830-4938",
"fax_number": "803-508-7655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "SHELLIE",
"middle_name": "CHAPMAN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-16",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN246301",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "25552",
"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 Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.