Active NPI
Shannon Lindsey Gainey, FNP
- Family Nurse Practitioner
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4020
- Practice address
- 3955 Faber Place Dr
Suite 202
North Charleston, SC 29405-8578 - Phone
- (843) 207-1760
- Fax
- (843) 207-1727
- NPI assigned
- Jan 8, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4020 | SC | Primary |
Addresses
Primary practice location
3955 Faber Place Dr
Suite 202
North Charleston, SC 29405-8578
Mailing address
3955 Faber Place Dr
Suite 202
North Charleston, SC 29405-8578
Phone (843) 207-1760
Other practice location 1
701 Medical Park Dr Ste 301
Hartsville, SC 29550-4779
Phone (843) 383-5978
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00820366 | Other | SC | RAILROAD MEDICARE-RSFPN |
| NP1548 | Medicaid | SC |
Other names 1
- Shannon Lindsey Freeman
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Medical University of South Carolina College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Medical Park Dr
Suite 301
Hartsville, SC 29550-4779
Phone (843) 383-5978
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4020 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Family | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Hartsville Medical Group LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
8 Richland Medical Park Dr
Ste 100
Columbia, SC 29203
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
701 Medical Park Dr
Ste 301
Hartsville, SC 29550
Phone (843) 383-5978
701 Medical Park Dr
Ste 103
Hartsville, SC 29550
Phone (843) 339-3030
701 Medical Park Dr
Ste 305
Hartsville, SC 29550
Phone (843) 777-2800
700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742
Interoperability endpoints
- sgainey576364@direct.ghs.myhfn.org
- https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Hartsville, SC
- NPI 1598995300
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Interventional Cardiology Physician
- Columbia, SC
- NPI 1003307166
Family
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1780914051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 FABER PLACE DR",
"address_2": "SUITE 202",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294058578",
"telephone_number": "843-207-1760",
"fax_number": "843-207-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 FABER PLACE DR",
"address_2": "SUITE 202",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294058578",
"telephone_number": "843-207-1760",
"fax_number": "843-207-1727"
}
],
"practiceLocations": [
{
"address_1": "701 Medical Park Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Hartsville",
"state": "SC",
"postal_code": "295504779",
"country_code": "US",
"telephone_number": "843-383-5978",
"fax_number": "843-383-5977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAINEY",
"first_name": "SHANNON",
"middle_name": "LINDSEY",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "4020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-RSFPN",
"identifier": "P00820366",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1548",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "FREEMAN",
"middle_name": "LINDSEY",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.