Individual provider Active NPI

Shanika Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, SC
National Provider Identifier
1720529464
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5010073 Issued in NC
Practice address
514 W Palmetto St Ste 2D
Florence, SC 29501-4428
Phone
(833) 643-6660
Fax
(930) 300-5621
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5010073 NC Primary
Nurse Practitioner 363L00000X F407820 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20855 SC
Nurse Practitioner 363L00000X 0104473 CO
Nurse Practitioner 363L00000X 11020954 FL
Nurse Practitioner 363L00000X 53-84600-112 KS

Addresses

Primary practice location

514 W Palmetto St Ste 2D
Florence, SC 29501-4428

Mailing address

514 W Palmetto St Ste 2D
Florence, SC 29501-4428
Phone (833) 643-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180116000732 NC Practitioner - Nurse Practitioner 1951660133 Reassigns benefits to 1 organization
I20190624002649 SC Practitioner - Nurse Practitioner 1951660133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

514 W Palmetto St
Suite 2D
Florence, SC 29501-4428
Phone (833) 643-6660

900 Trail Ridge Rd
FL 1
Aiken, SC 29803-7765
Phone (833) 351-8255

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0104473COMDNurse Practitioner
11020954FLMDNurse Practitioner
53-84600-112KSMDNurse Practitioner
F407820NYMDNurse Practitioner
4289SCMDFamily Nurse Practitioner
5010073NCMDPsychiatric/Mental Health Nurse Practitioner
20855SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince Mar 1, 2020 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Sep 27, 2025 Accepting new patients
Recover All Behavioral Health LLC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Stress Management Center, LLC Past Accepting new patients

Locations

110 W Walker Ave
Fl 2
Asheboro, NC 27203
Phone (336) 633-7000

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

523 N US Highway 1
Ste A
Rockingham, NC 28379
Phone (910) 719-4335

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882

170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320

514 W Palmetto St
Ste 2D
Florence, SC 29501
Phone (833) 643-6660

10 Hospital Center Cmns
Ste 400
Hilton Head Island, SC 29926

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1720529464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W PALMETTO ST STE 2D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014428",
            "telephone_number": "833-643-6660",
            "fax_number": "930-300-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W PALMETTO ST STE 2D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014428",
            "telephone_number": "833-643-6660",
            "fax_number": "930-300-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5010073",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F407820",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "20855",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0104473",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11020954",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-84600-112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.