Individual provider Active NPI

Shelby Billeaud Harlock, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1407581333
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27456 Issued in SC
Practice address
2880 Stelzer Rd
Columbus, OH 43219-3133
Phone
(614) 472-2880
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0031701 OH
Family Nurse Practitioner 363LF0000X 27456 SC Primary

Addresses

Primary practice location

2880 Stelzer Rd
Columbus, OH 43219-3133

Mailing address

858 Centerwood Dr
Charleston, SC 29412-3513
Phone (614) 564-7074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230207002875 OH Practitioner - Nurse Practitioner 6305218967 Reassigns benefits to 1 organization
I20231012000336 SC Practitioner - Nurse Practitioner 6305218967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians
Medcare Express - North Charleston LLCGroup PAC ID 7618074899, 69 clinicians

Practice addresses (Care Compare)

8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031701OHMDFamily Nurse Practitioner
27456SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Express - North Charleston LLC CurrentSince Aug 30, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2022 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Aug 30, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2022 Accepting new patients
Charleston Carenow Urgent Care, LLC PastSince May 16, 2026 Accepting new patients

Locations

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246

10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209

301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246

110 Medical Cir
Ste A
West Columbia, SC 29169

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1407581333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 CENTERWOOD DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123513",
            "telephone_number": "614-564-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 STELZER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193133",
            "telephone_number": "614-472-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLOCK",
        "first_name": "SHELBY",
        "middle_name": "BILLEAUD",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.