Individual provider Active NPI

Madison Morin Shipp, PA-C

  • Surgical Physician Assistant
  • Charleston, SC
National Provider Identifier
1285037861
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2203 Issued in SC
Practice address
125 Doughty St Ste 660
Charleston, SC 29403-5731
Phone
(843) 577-7550
Fax
(843) 853-5588
NPI assigned
Sep 26, 2014
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2203 SC Primary

Addresses

Primary practice location

125 Doughty St Ste 660
Charleston, SC 29403-5731

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 1

IdentifierTypeStateIssuer
2047PAMedicaidSC

Other names 1

  • Madison Marie Morin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Madison.Shipp@rsfpp.eclinicaldirectplus.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229002124 SC Practitioner - Physician Assistant 3779806658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Doughty St
Charleston, SC 29403-5731

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 14, 2018 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 3, 2020 Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 3, 2020 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Jul 14, 2018 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

125 Doughty St
Ste 660
Charleston, SC 29403
Phone (803) 577-7550

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2085 Henry Tecklenburg Dr
Ste 310
Charleston, SC 29414
Phone (843) 266-5500

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

300 Callen Blvd
Ste 330
Summerville, SC 29486
Phone (843) 577-7550

Interoperability endpoints

  • Direct secure messaging: madison.shipp@rsfpp.eclinicaldirectplus.com
  • Direct secure messaging: mshipp1236744@direct.bsmhealth.org

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, 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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1285037861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 660",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035731",
            "telephone_number": "843-577-7550",
            "fax_number": "843-853-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "MADISON",
        "middle_name": "MORIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "2203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madison.Shipp@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "125 Doughty St Ste 660",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294035731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "MORIN",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.