Individual provider Active NPI

Shervon A. Pierre, MD

  • Family Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1477781995
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39896 Issued in SC
Practice address
455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Phone
(803) 581-0574
Fax
(877) 658-8669
NPI assigned
Jun 23, 2009
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39896 SC Primary
Family Medicine Physician 207Q00000X 2012-02034 NC

Addresses

Primary practice location

455 Lakeshore Pkwy
Rock Hill, SC 29730-4205

Mailing address

455 Lakeshore Parkway
Rock Hill, SC 29730-4205
Phone (803) 581-0574

Other identifiers 1

IdentifierTypeStateIssuer
NC2257MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018000147 SC Practitioner - Family Practice 5395984058 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-02034NCMDFamily Medicine Physician
39896SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Center CurrentSince Sep 2, 2024 Accepting new patients
Community Medicine Foundation CurrentSince Jul 12, 2016 Accepting new patients
Community Medicine Foundation CurrentSince Jul 12, 2016 Accepting new patients
Affinity Health Center CurrentSince Sep 2, 2024 Accepting new patients
Affinity Health Center Family Medicine Past Accepting new patients
Affinity Health Center Family Medicine Past Accepting new patients
Affinity Health Center Past Accepting new patients
Bertie County Rural Health Association PastSince Feb 2, 2020 Accepting new patients

Locations

300 Clinton Ave
Clover, SC 29710
Phone (803) 810-8400

1131 Saluda St
Rock Hill, SC 29730
Phone (803) 325-7744

455 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 909-6363

501 Belleview Rd
Rock Hill, SC 29730
Phone (803) 909-6363

1010 Devinney Rd
York, SC 29745
Phone (803) 909-6363

37 Pinckney St
York, SC 29745
Phone (803) 909-6363

Interoperability endpoints

  • Direct secure messaging: shervon.pierre.p1@direct.ncfmc.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1477781995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PARKWAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-581-0574",
            "fax_number": "803-581-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-581-0574",
            "fax_number": "877-658-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "SHERVON",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39896",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-02034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2257",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.