Individual provider Active NPI

Shannon Bledsoe, MD

  • Obstetrics & Gynecology Physician
  • Anderson, SC
National Provider Identifier
1235170200
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22583 Issued in SC
Practice address
160 Perpetual SQ
Anderson, SC 29621-1713
Phone
(864) 512-5880
Fax
(864) 375-1347
NPI assigned
Jun 9, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22583 SC Primary

Addresses

Primary practice location

160 Perpetual SQ
Anderson, SC 29621-1713

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5880

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000772 SC Practitioner - Obstetrics/Gynecology 1254366685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 HealthGroup PAC ID 1951215243, 348 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Obstetrics & Gynecology CurrentSince Oct 1, 2005 Accepting new patients
Anmed Health CurrentSince Oct 1, 2005 Accepting new patients
Anmed Health 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

  • Direct secure messaging: sbledsoe8833@direct.anmedhealth.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1235170200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-5880",
            "fax_number": "864-375-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PERPETUAL SQ",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211713",
            "telephone_number": "864-512-5880",
            "fax_number": "864-375-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "22583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.