Shannon Joy Smith, APRN, AGPCNP-BC - Medicare Nurse Practitioner in Greenville, SC

Shannon Joy Smith, APRN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Greenville, South Carolina. Her current practice location is 255 Enterprise Blvd Ste 101, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 454-8120.

Shannon Joy Smith is licensed to practice in South Carolina (license number 22971) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750925392.

Contact Information

Shannon Joy Smith, APRN, AGPCNP-BC
255 Enterprise Blvd Ste 101,
Greenville, SC 29615-3530
(864) 454-8120
(864) 454-8125

Map and Direction




Provider's Profile

Full NameShannon Joy Smith
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location255 Enterprise Blvd Ste 101, Greenville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750925392
  • Provider Enumeration Date: 11/06/2019
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092191346
  • Enrollment ID: I20221010003199

Medical Identifiers

Medical identifiers for Shannon Joy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750925392NPI-NPPES
PENDINGMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 22971 (South Carolina)Secondary
363LA2200XNurse Practitioner - Adult Health 22971 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Joy Smith allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Joy Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Joy Smith, APRN, AGPCNP-BC
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: () -
Shannon Joy Smith, APRN, AGPCNP-BC
255 Enterprise Blvd Ste 101,
Greenville, SC 29615-3530

Ph: (864) 454-8120

Reviews and Comments


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Phone: 864-454-8120    Fax: 864-454-8125
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.