Active NPI
Mekesha Shaw, DNP
- Family Nurse Practitioner
- Florence, SC
National Provider Identifier
1922589704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22188
- Practice address
- 1196 Waxwing Dr Unit a
Florence, SC 29505-3846 - Phone
- (999) 999-9999
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22188 | SC | Primary |
Addresses
Primary practice location
1196 Waxwing Dr Unit a
Florence, SC 29505-3846
Mailing address
1196 Waxwing Dr Unit a
Florence, SC 29505-3846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP7634 | Medicaid | SC | |
| SC6095 | Other | SC | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1268 S 4TH St
Hartsville, SC 29550-0703
Phone (843) 332-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22188 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth Physicians Services, LLC | Family Medicine | Current | Accepting new patients |
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Pruitthealth Pharmacy Services, Inc. | Past | Accepting new patients |
Locations
1268 S 4th St
Ste B
Hartsville, SC 29550
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
328 Riverchase Way
Lexington, SC 29072
Phone (803) 739-4949
Interoperability endpoints
- mekesha.shaw@csci.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
- Internal Medicine Physician
- Norcross, GA
- NPI 1043676299
Family Medicine, SC
-
- Long Term Care Pharmacy
- Lexington, SC
- NPI 1841237245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1922589704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1196 WAXWING DR UNIT A",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295053846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1196 WAXWING DR UNIT A",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295053846",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "MEKESHA",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP7634",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "SC6095",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.