Active NPI
Shannon McAvoy Carmignani, DPM
- Podiatrist
- Summerville, SC
National Provider Identifier
1710564885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 762
- Practice address
- 208 E 2ND North St
Summerville, SC 29483-2157 - Phone
- (843) 904-5061
- NPI assigned
- Mar 25, 2021
- Last updated
- Jul 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 762 | SC | Primary |
Addresses
Primary practice location
208 E 2ND North St
Summerville, SC 29483-2157
Mailing address
972 Sumter Hwy
Kingstree, SC 29556-4948
Phone (203) 312-3798
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
218 Granito Dr
Greer, SC 29650-2771
Phone (248) 528-2116
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1488 |
| Removal or shaving of skin growth | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 762 | SC | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Feet of SC LLC | Podiatrist | Current | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 128
Louisville, KY 40243
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (502) 214-4812
Organizations & group practices 1
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.
-
- Podiatrist
- Greer, SC
- NPI 1194331132
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": "1722211200000",
"number": "1710564885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 SUMTER HWY",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295564948",
"telephone_number": "203-312-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E 2ND NORTH ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294832157",
"telephone_number": "843-904-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMIGNANI",
"first_name": "SHANNON",
"middle_name": "MCAVOY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SC",
"license": "762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
- Kristin Lee Carestio, LMT
- Caring Counseling Services
- Robert Matthew Carlile, M.D.
- Kwanis S. Carlos, LCSW
- Sharon Jill Carlton, PHARM. D
- Carolina Behavioral Counseling
- Carolina Eyecare Physicians, LLC
- Carolina Family Care, Inc (MUSC Health Clements Ferry Primary Care Pavilion)
- Carolina Family Care, Inc (MUSC Physicians PCP Flowertown FM)
- Carolina Family Care, Inc (MUSC Health Springview Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.