Individual provider Active NPI

Emily Christine Shattuck

  • Anesthesiologist Assistant
  • Greenville, SC
National Provider Identifier
1235775800
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
67.000468 Issued in OH
Practice address
7 Independence PT FL 4
Greenville, SC 29615-4566
Phone
(864) 522-3700
Fax
(864) 522-3705
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 7500057A IN
Anesthesiologist Assistant 367H00000X 131 SC
Anesthesiologist Assistant 367H00000X 67.000468 OH Primary

Addresses

Primary practice location

7 Independence PT FL 4
Greenville, SC 29615-4566

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

Other practice location 2

11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714
Phone (260) 425-6030

Other names 1

  • Emily Allan Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Direct Messaging Address eallan285088@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230227002353 NC Practitioner - Anesthesiology Assistant 0648607507 Reassigns benefits to 1 organization
I20230614002442 OH Practitioner - Anesthesiology Assistant 0648607507 Reassigns benefits to 3 organizations
I20240923001664 SC Practitioner - Anesthesiology Assistant 0648607507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Indiana Medical College, School of Medicine of Purdue University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
131SCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Anesthesiologists Inc CurrentSince Sep 10, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 16, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 16, 2024 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Anesthesiology Services Network LTD CurrentSince Aug 3, 2023 Accepting new patients
Fayetteville Anesthesia, P.a. CurrentSince Dec 1, 2022 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Anesthesiologist Assistant CurrentSince Jul 1, 2023 Accepting new patients

Locations

1781 Metromedical Dr
Fayetteville, NC 28304
Phone (828) 771-5227

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

100 W Main St
Springfield, OH 45502
Phone (937) 521-3900

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549

Interoperability endpoints

  • Direct secure messaging: eallan285088@direct.parkviewexchange.com

Organizations & group practices 7

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 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1235775800",
    "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": "7 INDEPENDENCE PT FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154566",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 Auburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-585-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11141 Parkview Plaza Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451714",
            "country_code": "US",
            "telephone_number": "260-425-6030",
            "fax_number": "260-425-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHATTUCK",
        "first_name": "EMILY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "IN",
            "license": "7500057A",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "SC",
            "license": "131",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3810 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eallan285088@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "3810 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3810 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ALLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.