Shana Fay Egge, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35176 Issued in SC

Practice address

20 Medical Ridge Dr
Greenville, SC 29605-4267

Phone

(864) 220-7272

Fax

(864) 241-9211

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shana.egge@myrhc.eclinicaldirectplus.com

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.

• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217

  Pediatrics

  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1194710426
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1457745952
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1548528714
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1558946376
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Union, SC
  • NPI 1982248852
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1457061087
  NPD

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1760441208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6044",
            "fax_number": "864-797-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL RIDGE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054267",
            "telephone_number": "864-220-7272",
            "fax_number": "864-241-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGE",
        "first_name": "SHANA",
        "middle_name": "FAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2004-01206",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "35176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G51573",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138PG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Efird Nutrition LLC
• Elaina Efird, RD, CEDS-S, CSSD
• Brent Michael Egan, MD
• Emily Egeln
• Brian Egge
• Bradley D Eggebraaten, PT
• Alicia Eggert, EMT
• Asia Eggleton
• Elise Eginton, CRNA
• Christine Hawkins Ehlies, RN, MN, CNS-BC

• Pediatrics Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.

Verify at the official NPI Registry.