Individual provider Active NPI

Sharon Phillips Beall, M.D.

  • Pediatric Hospice and Palliative Medicine Physician
  • Columbia, SC
National Provider Identifier
1821086695
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
License
34097 Issued in SC
Practice address
136 Stonemark LN Ste 100
Columbia, SC 29210-3881
Phone
(803) 603-4821
Fax
(888) 802-6138
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 34097 SC Primary

Addresses

Primary practice location

136 Stonemark LN Ste 100
Columbia, SC 29210-3881

Mailing address

136 Stonemark LN Ste 100
Columbia, SC 29210-3881
Phone (803) 603-4821

Other identifiers 1

IdentifierTypeStateIssuer
000561998FMedicaidGA

Other names 1

  • Nancy Sharon Phillips Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180924000070 SC Practitioner - Pediatric Medicine 1456581347 Reassigns benefits to 1 organization
I20201214001531 GA Practitioner - Pediatric MedicinePractitioner - Hospice/Palliative Care 1456581347 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Dec 1, 2020 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Dec 1, 2020 Accepting new patients
Hospice Care of South Carolina, LLC Hospice and Palliative Medicine CurrentSince Jul 14, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Hospice Care of South Carolina, LLC PastSince Dec 15, 2019 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

4321 University Pkwy
Ste 104
Evans, GA 30809
Phone (706) 854-2198

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

136 Stonemark Ln
Ste 100
Columbia, SC 29210
Phone (803) 603-4821

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1821086695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 STONEMARK LN STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103881",
            "telephone_number": "803-603-4821",
            "fax_number": "888-802-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STONEMARK LN STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103881",
            "telephone_number": "803-603-4821",
            "fax_number": "888-802-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALL",
        "first_name": "SHARON",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "34097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000561998F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PHILLIPS",
            "middle_name": "SHARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.