Individual provider Active NPI

David T Shook, MD

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1811284649
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL33753 Issued in SC
Practice address
2000 E Greenville St
Suite 3700
Anderson, SC 29621-1580
Phone
(864) 512-1475
Fax
(864) 512-1390
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL33753 SC Primary

Addresses

Primary practice location

2000 E Greenville St
Suite 3700
Anderson, SC 29621-1580

Mailing address

1 Independence Pointe
Suite 212
Greenville, SC 29615-4536
Phone (864) 797-6174

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000669 SC Practitioner - Family Practice 1850534710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Geriatric Specialists, LLCGroup PAC ID 2163693532, 5 clinicians

Practice addresses (Care Compare)

244 Church St
Sumter, SC 29150-4256
Phone (803) 775-1001

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Medical Services of America Hospice-Columbia Hospice, Columbia, SC, CCN 421531
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • NHC Healthcare - Sumter Nursing home, Sumter, SC, CCN 425109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL33753SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Family Medicine CurrentSince May 28, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince May 28, 2018 Accepting new patients
Carolina Geriatric Specialists, LLC CurrentSince May 1, 2019 Accepting new patients
Internal Medical Associates, PA PastSince May 1, 2019 Accepting new patients

Locations

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

2400 Boiling Springs Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 599-0731

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

244 Church St
Sumter, SC 29150
Phone (803) 775-1001

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 6

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1811284649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE POINTE",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "address_2": "SUITE 3700",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-512-1475",
            "fax_number": "864-512-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL33753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.