Individual provider Active NPI

Huneiza Shaikh, MD

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1447475017
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29330 Issued in SC
Practice address
2660 Reidville Rd Unit 1
Spartanburg, SC 29301-3512
Phone
(864) 560-9696
Fax
(864) 560-9636
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29330 SC Primary

Addresses

Primary practice location

2660 Reidville Rd Unit 1
Spartanburg, SC 29301-3512

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other identifiers 2

IdentifierTypeStateIssuer
GP1118MedicaidSC
202426OtherSCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070621000757 SC Practitioner - Family Practice 1850293812 Reassigns benefits to 2 organizations
I20220201002502 FL Practitioner - Family Practice 1850293812

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

6167 Braided Mane Pass SW
Aiken, SC 29803-7839
Phone (803) 648-1464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Apr 9, 2007 Accepting new patients
Spartanburg Medical Center CurrentSince Apr 9, 2007 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spectrum Health Hospitals Past Accepting new patients
Advantage Health Physicians PC Family Medicine Past Accepting new patients
Woodruff Road Urgent Care Center, P.C. PastSince Dec 29, 2019 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

2126 Highway 81 N
Anderson, SC 29621
Phone (864) 226-2660

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

1575 E Main St
Duncan, SC 29334
Phone (864) 487-3338

150 D St
Greer, SC 29651
Phone (864) 560-9646

793 E Butler Rd
Mauldin, SC 29662
Phone (864) 720-1442

8311 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 562-5100

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1447475017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 REIDVILLE RD UNIT 1",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013512",
            "telephone_number": "864-560-9696",
            "fax_number": "864-560-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "HUNEIZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "29330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1118",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "202426",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.