Shannon D Johnson (NPI# 1063513307, PAC ID# 1456371830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1063513307 |
| PAC ID by PECOS | 1456371830 |
| Professional Enrollment ID | I20051130000358 |
| Full Name | Shannon D Johnson |
| Organization Legal Name | ST FRANCIS PHYSICIAN SERVICES INC |
| Address |
213 Halton Rd Greenville SC 29607-3509 |
| Phone Number | 8643824000 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6608826821 |
| Number of Group Practice Members | 302 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420023 | ST FRANCIS-DOWNTOWN |
| Address | Phone | Organization |
|---|---|---|
| 1200 Brookfield Blvd, Suite 400b, Greenville, SC 29607-6583 | 8646053721 | ST FRANCIS PHYSICIAN SERVICES INC |
| 213 Halton Rd, Greenville, SC 29607-3509 | 8643824000 | ST FRANCIS PHYSICIAN SERVICES INC |
| Organization Legal Name | ST FRANCIS PHYSICIAN SERVICES INC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Vanderhave | Orthopedic Surgery | St Francis Physician Services Inc | 209 Patewood Dr, Suite 200, Greenville, SC 29615-3589 |
| Kendall N Shirley | Family Medicine | St Francis Physician Services Inc | 10701 Anderson Rd, Easley, SC 29642-9309 |
| Alexandria G Gibbons | Nurse Practitioner | St Francis Physician Services Inc | 801 Roper Creek Dr, Greenville, SC 29615-6938 |
| Joanna A Grabska | Hematology/oncology | St Francis Physician Services Inc | 104 Innovation Dr, Suite 2000, Greenville, SC 29607-5253 |
| Abby E Wittenberg | Nurse Practitioner | St Francis Physician Services Inc | 1338 Hwy 14, Simpsonville, SC 29681-5637 |
| Lesley B. Pickell | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Angela Cummins | Nurse Practitioner | St Francis Physician Services Inc | 75 E Mcbee Ave, Greenville, SC 29601-2737 |
| Tyra Lynn Taylor | Nurse Practitioner | St Francis Physician Services Inc | 2 Maple Tree Ct, Suite B, Greenville, SC 29615-4069 |
| Michael Lloyd Peters | Family Medicine | St Francis Physician Services Inc | 398 The Pkwy, Greer, SC 29650-4569 |
| Eugene M Golding Jr. | Pediatric Medicine | St Francis Physician Services Inc | 800 Pelham Rd, Greenville, SC 29615-3300 |
| Street Address |
213 HALTON RD |
| City | GREENVILLE |
| State | SC |
| Zip | 29607-3509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley B. Pickell | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Sharon E Kofoed | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Rebecca Ann Keith | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Vanessa A Mazzoli | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Celeste B Beaudoin | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Edward P Heidtman Iv | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Ralph E Lattimore | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Harvey A Sikes | Obstetrics/gynecology | St Francis Physician Services Inc | 213 Halton Rd, Greenville, SC 29607-3509 |
| Clovis H Pierce | Obstetrics/gynecology | Greenville Womens Services | 213 Halton Rd, Greenville, SC 29607-3509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Sineath | Chiropractic | Sineath Chiropractic Centers | 1300 E Washington St B, Greenville, SC 29607-1858 |
| Joy D Bennett | Clinical Social Worker | 109 Laurens Rd, Suite D, Greenville, SC 29607-1860 | |
| Jennifer M Rogers | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Theresa G Lawson | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Heather Gabrielle Bowers | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Maria M Nichols | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Latoya Solomon | Nurse Practitioner | Homestead Palliative Care, Inc | 109 Lauren Rd, Bldg 1a, Greenville, SC 29607-1860 |
| Jeffrey W Brown | Chiropractic | 426 N Pleasantburg Dr, Greenville, SC 29607-2187 | |
| Stacy H Schroder | Nurse Practitioner | Chris M Peterson Md Pa | 7 A Cleveland Ct, Greenville, SC 29607-2414 |
| Neha Chowdhary | Physical Medicine and Rehabilitation | Prisma Health University Medical Group | 2 A Cleveland Court, Greenville, SC 29607-2414 |
| Find all physicians in zip 29607 | |||
| City | GREENVILLE |
| Zip Code | 29607 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GREENVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Shannon D Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.