Toshiva Deshane Shippy, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25915 Issued in SC

Practice address

220 Irby St
Woodruff, SC 29388-1618

Phone

(864) 582-2411

Fax

(864) 295-2337

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regenesis Organization Community Health CenterGroup PAC ID 8022928001, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20461/brand/1/csg/21/fhir/r4

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.

• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1194710426
  Medicare reassignment Care Compare group
• Careconnectmd South Carolina P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mount Pleasant, SC
  • NPI 1306565973
  Medicare reassignment NPD
• Carolinas Center for Advanced Management of Pain, LLC

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
  • NPI 1750304002
  Medicare reassignment NPD
• Commonwealth Pain Associates, PLLC

  dba Commonwealth Pain and Spine

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  Family, SC

  Medicare reassignment NPD
• Physicians Services Group, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1700357076
  NPD
• Psgsc MSSP, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1417839754
  NPD
• Carolinas Center for Advanced Management of Pain

  • Interventional Pain Medicine Physician
  • Gastonia, NC
  • NPI 1578968079
  NPD
• Commonwealth Pain Associates PLLC

  dba Commonwealth Pain And Spine

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1902540172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158",
            "telephone_number": "864-582-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 IRBY ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293881618",
            "telephone_number": "864-582-2411",
            "fax_number": "864-295-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Langdon St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021614",
            "country_code": "US",
            "telephone_number": "864-582-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPPY",
        "first_name": "TOSHIVA",
        "middle_name": "DESHANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP9529",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Rust, PTA
• Diane J Schlafly, L.M.T.
• Gajanan Ramnath Shanbhag, MD
• Pramila Gajanan Shanbhag, MD
• Laura Shields
• Lindsay Jeanne Small, MA, BCBA
• Jonathan Gregory Smith, DMD, MHS
• Kristina Smith, M.A., CCC-SLP
• Susan Lucille Smith, PT
• South Carolina CVS Pharmacy LLC (CVS Pharmacy # 02446)

• Family Nurse Practitioner in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.

Verify at the official NPI Registry.