Shawn Conley Edwards, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3944 Issued in SC

Practice address

415 S Pendleton St
Easley, SC 29640-3051

Phone

(864) 859-0111

Fax

(864) 859-0112

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1265480404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S PENDLETON ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403051",
            "telephone_number": "864-859-0111",
            "fax_number": "864-859-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S PENDLETON ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403051",
            "telephone_number": "864-859-0111",
            "fax_number": "864-859-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHAWN",
        "middle_name": "CONLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Eddy, RD, LDN
• Glenn R. Edens, DMD
• Greg W Edens, MD
• Carl Carter Edge IV
• Heather Wright Edge, DMD
• Elevate Audiology LLC
• Ashley Rogers Ellenburg
• Jed Riley Ellenburg, DC
• Beverly Turner Ellington, MD
• Debbie Ellis, N.P.

• General Practice Dentistry in Easley, SC
• Providers in Easley, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.