Individual provider Active NPI

Shankia Glover, FNP-C

  • Family Nurse Practitioner
  • Hopkins, SC
National Provider Identifier
1891575866
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28486 Issued in SC
Practice address
9023 Garners Ferry Rd
Hopkins, SC 29061-4001
Phone
(803) 978-1848
NPI assigned
Oct 5, 2023
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28486 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9023 Garners Ferry Rd
Hopkins, SC 29061-4001

Mailing address

169 Laurelhurst Ave
Columbia, SC 29210-3825
Phone (803) 733-5969

Other practice location 1

1601 Greene St
Columbia, SC 29208-4001
Phone (803) 777-7412

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
I20240807001533 SC Practitioner - Nurse Practitioner 5698212785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 Rabon Rd
Suite 203
Columbia, SC 29203-8903
Phone (803) 274-6166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28486SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Jun 17, 2024 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 21, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jul 21, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

710 Rabon Rd
Ste 203
Columbia, SC 29203
Phone (803) 274-6166

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

9023 Garners Ferry Rd
Hopkins, SC 29061
Phone (803) 978-1848

2500 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8845

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

Interoperability endpoints

  • Direct secure messaging: shankia.glover@ppcp1.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1891575866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LAURELHURST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103825",
            "telephone_number": "803-733-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 GARNERS FERRY RD",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290614001",
            "telephone_number": "803-978-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Greene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292084001",
            "country_code": "US",
            "telephone_number": "803-777-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "SHANKIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28486",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, SC

Sources for this page

Verify at the official NPI Registry.