NPIMap

Individual provider Active NPI

Robin C Shealy

  • Family Medicine Physician
  • Dillon, SC
National Provider Identifier
1154347540
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014075 Issued in SC
Practice address
603 N 6TH Ave
Dillon, SC 29536-2503
Phone
(843) 774-7336
Fax
(843) 774-5656
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 014075 SC Primary

Addresses

Primary practice location

603 N 6TH Ave
Dillon, SC 29536-2503

Mailing address

603 N 6TH Ave
Dillon, SC 29536-2503
Phone (843) 774-7336

Other identifiers 1

IdentifierTypeStateIssuer
140751MedicaidSC

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
I20110119000443 SC Practitioner - Family Practice 4082818687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

603 N 6TH Ave
Dillon, SC 29536-2503
Phone (843) 774-7336

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14075SCMDSocial Worker
014075SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Jan 1, 2022 Accepting new patients
Dillon Family Medicine, PA Family Medicine Past Accepting new patients
McLeod Physician Associates II Family Medicine Past Accepting new patients

Locations

603 N 6th Ave
Dillon, SC 29536
Phone (843) 774-7336

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

Interoperability endpoints

  • Direct secure messaging: rshealy59508@directmcleodehealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1154347540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N 6TH AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362503",
            "telephone_number": "843-774-7336",
            "fax_number": "843-774-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N 6TH AVE",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362503",
            "telephone_number": "843-774-7336",
            "fax_number": "843-774-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "ROBIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "014075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140751",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

Verify at the official NPI Registry.