Active NPI
Chay N Shipley
- Physician Assistant
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2635
- Practice address
- 35 International Dr
Greenville, SC 29615-4816 - Phone
- (864) 234-7654
- NPI assigned
- Sep 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2635 | SC | Primary |
Addresses
Primary practice location
35 International Dr
Greenville, SC 29615-4816
Mailing address
PO Box 22265
Belfast, ME 04915-4473
Phone (803) 296-7846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2635 | Other | SC | SC LICENSE |
| 2878PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520
1050 Grove Rd
Greenville, SC 29605-4649
Phone (864) 234-7654
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
35 International Dr
Greenville, SC 29615-4816
Phone (864) 513-1136
Hospital & facility affiliations
- St Francis Hospital Home Care
- St Francis-Downtown
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2635 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
2 Medical Park Rd
Ste 104
Columbia, SC 29203
Phone (803) 434-6781
910 N Main St
Fountain Inn, SC 29644
Phone (864) 967-4982
1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
35 International Dr
Greenville, SC 29615
Phone (864) 242-5020
406 N Poinsett Hwy
Travelers Rst, SC 29690
Phone (864) 834-4151
Interoperability endpoints
- cmalvasio1153369@direct.bsmhealth.org
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Plastic and Reconstructive Surgery Physician
- Sumter, SC
- NPI 1447749510
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Simpsonville, SC
- NPI 1306664248
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1174070429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22265",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154473",
"telephone_number": "803-296-7846",
"fax_number": "803-296-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 INTERNATIONAL DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154816",
"telephone_number": "864-234-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "CHAY",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-03",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE",
"identifier": "2635",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2878PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.