Shannon Bledsoe, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Anderson, SC
NPI 1235170200 · NPPES record last updated Jan 5, 2023
Key facts
- NPI
- 1235170200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 22583 (SC)
- Practice address
- 160 Perpetual SQ
Anderson, SC 29621-1713 - Phone
- (864) 512-5880
- Fax
- (864) 375-1347
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Georgia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anmed Health
Practice addresses (Care Compare)
130 Perpetual SQ
Anderson, SC 29621-1713
Phone (864) 512-1000
160 Perpetual SQ
Anderson, SC 29621-1713
Phone (864) 225-0391
2000 E Greenville St
Anderson, SC 29621-1580
703 N Fant St
Anderson, SC 29621-1580
Phone (864) 972-0414
Hospital & facility affiliations
- Anmed Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051004000772 | SC | Practitioner - Obstetrics/Gynecology | 1254366685 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current |
Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Obstetrics & Gynecology | Current |
Accepting new patients |
| Anmed Health | Past | Accepting new patients | |
| Anmed Health | Past | Accepting new patients |
Locations
160 Perpetual Sq
Anderson, SC 29621
Phone (864) 224-2222
2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131
Interoperability endpoints
- sbledsoe8833@direct.anmedhealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22583 | SC | Yes |
Addresses
Primary practice location
160 Perpetual SQ
Anderson, SC 29621-1713
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225839 | Medicaid | SC |
Other providers in Anderson, SC
- Bobbie Blake
- Justin Tate Blakey
- Alan E Blanchard
- Sarah Bland
- Dalton Blankenship
- Margaret Bloomer
- Grady Blount
- Morgan Blount
- Blue Ridge Oral and Maxillofacial Surgery PA
- Blue Ridge Orthopaedic Assoc, PA
All providers in Anderson, SC · Obstetrics & Gynecology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.