Active NPI
Shannon Leigh Gearhart, M.D.
- Family Medicine Physician
- Columbia, SC
National Provider Identifier
1427257682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL29754
- Practice address
- 3209 Colonial Dr
Columbia, SC 29203-6930 - Phone
- (803) 434-6116
- Fax
- (803) 434-7529
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL29754 | SC | Primary |
Addresses
Primary practice location
3209 Colonial Dr
Columbia, SC 29203-6930
Mailing address
3209 Colonial Dr
Columbia, SC 29203-6930
Phone (803) 434-6116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL29754 | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1427257682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-6116",
"fax_number": "803-434-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-6116",
"fax_number": "803-434-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL29754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.