NPIMap

Individual provider Active NPI

Stephen Lee Shelton Sr., MD

  • Emergency Medicine Physician
  • Columbia, SC
National Provider Identifier
1649241316
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16073 Issued in SC
Practice address
14 Richland Medical Park Dr Ste 410
Columbia, SC 29203-6878
Phone
(803) 434-3906
Fax
(803) 434-4614
NPI assigned
Jan 30, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16073 SC Primary

Addresses

Primary practice location

14 Richland Medical Park Dr Ste 410
Columbia, SC 29203-6878

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other identifiers 1

IdentifierTypeStateIssuer
160738MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000154 SC Practitioner - Emergency Medicine 7214980960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Brody School of Medicine at East Carolina University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

7 Richland Medical Park Dr
Columbia, SC 29203-6863

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands Emergency Medicine CurrentSince Jan 20, 2021 Accepting new patients
Prisma Health-Midlands Emergency Medicine CurrentSince Mar 10, 2014 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 20, 2021 Accepting new patients

Locations

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410

14 Richland Medical Park Dr
Ste 410
Columbia, SC 29203
Phone (803) 434-8740

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168

8 Richland Medical Park Dr
Ste 400
Columbia, SC 29203
Phone (803) 296-7305

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: sshelton413673@direct.ghs.myhfn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1649241316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR STE 410",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036878",
            "telephone_number": "803-434-3906",
            "fax_number": "803-434-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "16073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.