Individual provider Active NPI

Shannon Lindsey Gainey, FNP

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1780914051
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4020 Issued in SC
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

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00820366OtherSCRAILROAD MEDICARE-RSFPN
NP1548MedicaidSC

Other names 1

  • Shannon Lindsey Freeman Former 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
I20100504000145 SC Practitioner - Nurse Practitioner 0244368736 Reassigns benefits to 2 organizations

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
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

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

LicenseStateTypeSpecialty
4020SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Family CurrentSince Jan 1, 2022 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Hartsville Medical Group LLC CurrentSince Aug 1, 2015 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 1, 2022 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

  • Direct secure messaging: sgainey576364@direct.ghs.myhfn.org
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.