Shafara Dozier, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1326 Issued in SC

Practice address

901 N Matthews Rd
Lake City, SC 29560-7024

Phone

(843) 374-8380

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

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

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

Physician Assistant

Education

Eastern Virginia Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake City Family Medicine LLCGroup PAC ID 0547368441, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Kingstree, SC, CCN 427068
• CCN 420117 Hospital, CCN 420117

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Lake City Family Medicine LLC

  • Primary Care Clinic/Center
  • Lake City, SC
  • NPI 1396969002
  Medicare reassignment Care Compare group NPD
• Medtran Express

  • Land Ambulance
  • Lake City, SC
  • NPI 1013246461
  NPD Authorized official
• Beacon Home Care Services, LLC

  • In Home Supportive Care Agency
  • Cades, SC
  • NPI 1740934645
  NPD
• Lower Florence County Hospital

  dba Lake City Family Medicine

  • Rural Health Clinic/Center
  • Lake City, SC
  • NPI 1902903222
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Georgetown Hospital Home Health LLC

  dba Amedisys Home Health of Myrtle Beach

  • Home Health Agency
  • Kingstree, SC
  • NPI 1255399747
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Black River Medical Center

  • General Acute Care Hospital
  • Cades, SC
  • NPI 1841914298
  Care Compare affiliation

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1982851317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZIER",
        "first_name": "SHAFARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CTF Universal Medical Transport LLC
• Daniel E Decamps, M.D.
• Emily Dennis
• M L Denny, OD
• Wendy Renee Dicks, B.A.
• Kelly Eaddy, RN
• East Main Medical Services, LLC
• East Main Medical Services, LLC
• Richard K Ellis, M.D.
• Elm Pediatrics, LLC

• Medical Physician Assistant in Lake City, SC
• Providers in Lake City, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.