Individual provider Active NPI

Shannon Salyers, APRN

  • Adult Health Nurse Practitioner
  • Walterboro, SC
National Provider Identifier
1508223660
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
19929 Issued in SC
Practice address
302 Medical Park Dr
Suite 212
Walterboro, SC 29488-5747
Phone
(843) 782-4700
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 19929 SC Primary

Addresses

Primary practice location

302 Medical Park Dr
Suite 212
Walterboro, SC 29488-5747

Mailing address

302 Medical Park Dr.
Suite 212 Colleton Cardiology
Walterboro, SC 29488
Phone (843) 782-4700

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
I20160428002170 SC Practitioner - Nurse Practitioner 8426357211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

Practice addresses (Care Compare)

120 Medical Park Dr
Walterboro, SC 29488-5719
Phone (843) 549-1421

302 Medical Park Dr
Walterboro, SC 29488-5749

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
78.15
Promoting interoperability
98
Improvement activities
40
Cost
73.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Associates, LLC CurrentSince Feb 15, 2016 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Locations

302 Medical Park Dr
Ste 215
Walterboro, SC 29488
Phone (843) 549-5557

302 Medical Park Dr
Ste 212
Walterboro, SC 29488
Phone (843) 285-2500

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1508223660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR.",
            "address_2": "SUITE 212 COLLETON CARDIOLOGY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "29488",
            "telephone_number": "843-782-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "SUITE 212",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885747",
            "telephone_number": "843-782-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYERS",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "19929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.