Active NPI
Shacola J Nieves, MSN
- Advanced Practice Midwife
- Okatie, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 24807
- Practice address
- 719 Okatie Hwy # 170
Okatie, SC 29909-3963 - Phone
- (843) 987-7400
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 24807 | SC | |
| Advanced Practice Midwife | 367A00000X | 24807 | SC | Primary |
Addresses
Primary practice location
719 Okatie Hwy # 170
Okatie, SC 29909-3963
Mailing address
PO Box 357
Ridgeland, SC 29936-2605
Phone (843) 987-7400
Other practice location 1
1320 Ribaut Rd
Port Royal, SC 29935-1118
Phone (843) 986-0900
Other names 1
- Shacola Jenkins
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 N Okatie Hwy
Ridgeland, SC 29936-8276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24807 | SC | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services, Inc | Current | Accepting new patients | |
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Current | Accepting new patients | |
| Beaufort-Jasper-Hampton Comprehensive Health Service Inc | Past | Accepting new patients |
Locations
719 Okatie Hwy
Okatie, SC 29909
Phone (843) 987-7408
721 Okatie Hwy
Okatie, SC 29909
1320 Ribaut Rd
Port Royal, SC 29935
Phone (843) 322-1833
721 N Okatie Hwy
#170
Ridgeland, SC 29936
721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EICIBD
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
-
- Federally Qualified Health Center (FQHC)
- Varnville, SC
- NPI 1073318259
-
- Community/Retail Pharmacy
- Okatie, SC
- NPI 1578607248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1669059762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299362605",
"telephone_number": "843-987-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 OKATIE HWY # 170",
"city": "OKATIE",
"state": "SC",
"postal_code": "299093963",
"telephone_number": "843-987-7400"
}
],
"practiceLocations": [
{
"address_1": "1320 Ribaut Rd",
"address_purpose": "LOCATION",
"city": "Port Royal",
"state": "SC",
"postal_code": "299351118",
"country_code": "US",
"telephone_number": "843-986-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEVES",
"first_name": "SHACOLA",
"middle_name": "J",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "SC",
"license": "24807",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "24807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHACOLA",
"last_name": "JENKINS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.