Individual provider Active NPI

Shoghunny Nayada McBeth-Alexander, NP

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1477196228
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22847 Issued in SC
Practice address
1751 E Main St
Spartanburg, SC 29307-2230
Phone
(864) 573-5313
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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 22847 SC Primary

Addresses

Primary practice location

1751 E Main St
Spartanburg, SC 29307-2230

Mailing address

1751 E Main St
Spartanburg, SC 29307-2230
Phone (864) 573-5313

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
I20200226001554 SC Practitioner - Nurse Practitioner 8123455409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

661 Rutherford Rd
Greenville, SC 29609-4640
Phone (864) 232-2442

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Oct 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

661 Rutherford Rd
Greenville, SC 29609
Phone (803) 266-3229

35 Southpointe Dr
Greenville, SC 29607
Phone (864) 288-1415

1810 Richmond Ave
Port Royal, SC 29935
Phone (843) 781-7700

375 Serpentine Dr
Spartanburg, SC 29303
Phone (864) 585-0218

Organizations & group practices 1

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1477196228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072230",
            "telephone_number": "864-573-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072230",
            "telephone_number": "864-573-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBETH-ALEXANDER",
        "first_name": "SHOGHUNNY",
        "middle_name": "NAYADA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.