Active NPI
Elizabeth Anne Shirley, M.D.
- Pediatrics Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34667
- Practice address
- 175 Patewood Dr
Greenville, SC 29615-3570 - Phone
- (864) 797-1403
- Fax
- (864) 455-3884
- NPI assigned
- May 24, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34667 | SC | Primary |
Addresses
Primary practice location
175 Patewood Dr
Greenville, SC 29615-3570
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other practice location 1
701 Grove Rd
Balcony Suite 4
Greenville, SC 29605-5611
Phone (864) 455-7895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346673 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of South Carolina School of Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 E McBee Ave
Greenville, SC 29601-2842
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health-Upstate | Past | Accepting new patients | |
| Anmed Health | Past | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
701 Grove Rd
Ste 4
Greenville, SC 29605
Phone (864) 455-7879
Interoperability endpoints
- eshirley5832@direct.ghs.myhfn.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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- General Acute Care Hospital
- Anderson, SC
- NPI 1417919531
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1124574223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1174883128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-695-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 PATEWOOD DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153570",
"telephone_number": "864-797-1403",
"fax_number": "864-455-3884"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_2": "Balcony Suite 4",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296055611",
"country_code": "US",
"telephone_number": "864-455-7895",
"fax_number": "864-455-7807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIRLEY",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "34667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "346673",
"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 Sep 9, 2025; 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.