Active NPI
Shane Ryan Richey, MD
- Neurology Physician
- Columbia, SC
National Provider Identifier
1669276762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- LL94435
- Practice address
- 8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004 - Phone
- (803) 434-8050
- NPI assigned
- Apr 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LL94435 | SC | Primary |
Addresses
Primary practice location
8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004
Mailing address
8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822004076 | SC | Order and Referring Only - Neurology | 2567962673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL94435 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1669276762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 RICHLAND MEDICAL PARK DR STE 420",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 RICHLAND MEDICAL PARK DR STE 420",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038004",
"telephone_number": "803-434-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHEY",
"first_name": "SHANE",
"middle_name": "RYAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-01",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "LL94435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Shamekia Shuntell Richardson, LPN
- William Benjamin Richardson, RPH
- William Harrington Richardson III, MD
- Robin Richburg
- Nancy Anne Richeson, M.D.
- Lakisha Toraine Richie, MSW
- Richland Community Health Care Association
- Richland County Health Dept
- Richland County School District One
- Richland Physician Services PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.