Individual provider Active NPI

Shannon Marie Dunlap, APRN, FNP-BC

  • Family Nurse Practitioner
  • Olanta, SC
National Provider Identifier
1285231845
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24421 Issued in SC
Practice address
211 S Jones Rd
Olanta, SC 29114-9705
Phone
(843) 396-9730
Fax
(843) 396-9735
NPI assigned
Oct 7, 2020
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24421 SC Primary

Addresses

Primary practice location

211 S Jones Rd
Olanta, SC 29114-9705

Mailing address

8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676

Other identifiers 1

IdentifierTypeStateIssuer
NP7344MedicaidSC

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
I20201203000195 SC Practitioner - Nurse Practitioner 4486065042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

211 S Jones Rd
Olanta, SC 29114-9705
Phone (843) 396-9730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24421SCMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare, Inc. CurrentSince May 28, 2024 Accepting new patients
Genesis Healthcare, Inc. Current Accepting new patients
Genesis Healthcare, Inc. CurrentSince May 28, 2024 Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients

Locations

8906 Two Notch Rd
Columbia, SC 29223
Phone (803) 254-3676

115 Exchange St
Darlington, SC 29532
Phone (803) 254-3676

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

201 Cashua St
#B
Darlington, SC 29532
Phone (843) 393-7452

1523 Heritage Ln
Florence, SC 29505
Phone (843) 673-0900

99 Bridgetown Rd
Goose Creek, SC 29445
Phone (843) 572-3300

211 S Jones Rd
Olanta, SC 29114
Phone (843) 396-9723

457 Spruce St
Walterboro, SC 29488
Phone (803) 943-3813

830 Robertson Blvd
Walterboro, SC 29488
Phone (843) 584-4353

Interoperability endpoints

  • Direct secure messaging: shannon.dunlap.2@20108.direct.athenahealth.com

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1285231845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S JONES RD",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "291149705",
            "telephone_number": "843-396-9730",
            "fax_number": "843-396-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7344",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olanta, SC

Sources for this page

Verify at the official NPI Registry.