Thomas Shannon Anderson, MD
Individual provider Active NPI Neurological Surgery Physician · Mt Pleasant, SC
NPI 1275609489 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1275609489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 25231 (SC)
- Practice address
- 1625 Hospital Dr
Mt Pleasant, SC 29464-3698 - Phone
- (843) 849-1551
- Fax
- (843) 884-0629
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1625 Hospital Dr
Suite 200
Mt Pleasant, SC 29464-3892
Phone (843) 849-1551
Hospital & facility affiliations
- Novant Health East Cooper Medical Center
- Tidelands Georgetown Memorial Hospital
- McLeod Loris Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.32 of 100
- Quality
- 43.59
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 69.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 285 |
| Laminectomy or laminotomy (partial removal of spine bones) | 122 |
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 |
|---|---|---|---|---|
| I20040108000268 | SC | Practitioner - Neurosurgery | 5799681326 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0090-01409 | NC | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Southeastern Spine Institute, LLC | Current |
Accepting new patients | |
| Southeastern Spine Institute,LLC | Current |
Accepting new patients | |
| University Specialty Clinics Neurosurgery | Neurological Surgery | Past | Accepting new patients |
| Grand Strand Specialty Associates, LLC | Past | Accepting new patients |
Locations
1625 Hospital Dr
Mt Pleasant, SC 29464
Phone (866) 774-6350
1625 Hospital Dr
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112
1106 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0090-01409 | NC | |
| Neurological Surgery Physician | 207T00000X | 25231 | SC | Yes |
Addresses
Primary practice location
1625 Hospital Dr
Mt Pleasant, SC 29464-3698
Mailing address
PO Box 749340
Atlanta, GA 30374-9340
Other providers in Mt Pleasant, SC
- Caroline Rembrett Anderson
- Charles Middleton Anderson
- Dennis E Anderson
- Kelly Rebecca Anderson
- Keshala Verne' Anderson
- Morgan Andrejchak
- Elizabeth E Andrews
- Kristopher A Andrews
- Anesthesia Associates of Charleston, P.a.
- Eric William Angermeier
All providers in Mt Pleasant, SC · Neurological Surgery 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 Dec 23, 2024. 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.