NPIMap

Individual provider Active NPI

Thomas Shannon Anderson, MD

  • Neurological Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1275609489
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25231 Issued in SC
Practice address
1625 Hospital Dr
Mt Pleasant, SC 29464-3698
Phone
(843) 849-1551
Fax
(843) 884-0629
NPI assigned
Nov 28, 2006
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0090-01409 NC
Neurological Surgery Physician 207T00000X 25231 SC Primary

Addresses

Primary practice location

1625 Hospital Dr
Mt Pleasant, SC 29464-3698

Mailing address

PO Box 749340
Atlanta, GA 30374-9340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000268 SC Practitioner - Neurosurgery 5799681326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Southeastern Spine Institute LLCGroup PAC ID 0244750578, 31 clinicians

Practice addresses (Care Compare)

1625 Hospital Dr
Suite 200
Mt Pleasant, SC 29464-3892
Phone (843) 849-1551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.32 of 100Reported as group
Quality
43.59
Promoting interoperability
86
Improvement activities
40
Cost
69.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion285
Laminectomy or laminotomy (partial removal of spine bones)122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0090-01409NCMDNeurological Surgery Physician
25231SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Southeastern Spine Institute, LLC CurrentSince Jan 1, 2025 Accepting new patients
Southeastern Spine Institute,LLC CurrentSince Aug 1, 2014 Accepting new patients
University Specialty Clinics Neurosurgery Neurological Surgery Past Accepting new patients
Grand Strand Specialty Associates, LLC Past Accepting new patients

Locations

1106 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112

1625 Hospital Dr
Mt Pleasant, SC 29464
Phone (866) 774-6350

1625 Hospital Dr
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1275609489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 HOSPITAL DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643698",
            "telephone_number": "843-849-1551",
            "fax_number": "843-884-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "THOMAS",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "0090-01409",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "25231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.