Individual provider Active NPI

Thomas Shelton, LAT, ATC, RN

  • Family Nurse Practitioner
  • Dillon, SC
National Provider Identifier
1770575557
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26521 Issued in SC
Practice address
705 N 8TH Ave Ste 1B
Dillon, SC 29536-2549
Phone
(843) 487-1588
Fax
(843) 487-1590
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R103177 AR
Athletic Trainer 2255A2300X AT 277 AR
Family Nurse Practitioner 363LF0000X 125715 AR
Family Nurse Practitioner 363LF0000X 26521 SC Primary

Addresses

Primary practice location

705 N 8TH Ave Ste 1B
Dillon, SC 29536-2549

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 487-1588

Other names 1

  • TC Shelton Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000982 SC Practitioner - Nurse Practitioner 6507272010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

705 N Ave
1B
Dillon, SC 29536-2549
Phone (843) 841-3517

Hospital & facility affiliations

  • McLeod Home Health Inc Home health agency, Florence, SC, CCN 427057
  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R103177ARMDRegistered Nurse
AT 277ARMDAthletic Trainer
125715ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Sep 12, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 12, 2022 Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients

Locations

705 N Ave
1B
Dillon, SC 29536
Phone (843) 841-3517

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

1005 E Cheves St
Florence, SC 29506
Phone (843) 777-7900

506 E Cheves St
#202
Florence, SC 29506

Interoperability endpoints

  • Direct secure messaging: tshelton40417@directmcleodehealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1770575557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-487-1588",
            "fax_number": "843-487-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 8TH AVE STE 1B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362549",
            "telephone_number": "843-487-1588",
            "fax_number": "843-487-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "THOMAS",
        "credential": "LAT, ATC, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R103177",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT 277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TC",
            "last_name": "SHELTON",
            "credential": "LAT, ATC, APRN, FNP-",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dillon, SC

Sources for this page

Verify at the official NPI Registry.