Erica Shannon

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

269067 Issued in SC

Practice address

208 W Hampton Ave
Sumter, SC 29150-4912

Phone

(803) 795-1003

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1760387013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291532025",
            "telephone_number": "803-795-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W HAMPTON AVE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504912",
            "telephone_number": "803-795-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "269067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Keepers Home Care LLC
• Jacqueline C. Session
• Jerry Shadbolt, ATC
• Chasity Shadoan, APN
• Davenna Shannon
• Tiauna R Shannon, LMSW
• John Charles Sharpe, MD
• Bettie Shaw
• Gertrude Elizabeth Stoney Shaw, LISW-CP
• Laurie Shaw, LMT, MMP

• Mental Illness Community Based Residential Treatment Facility in Sumter, SC
• Providers in Sumter, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.