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DR. CARL B SHEALY MD NPI 1861467235


NPI Information

NPI: 1861467235
Provider Name: DR. CARL B SHEALY, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
121 PARK CENTRAL DR
200
COLUMBIA, SC
ZIP 29203
Phone: (803) 252-9907
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DR. Carl B Shealy, MD is a nephrology internal medicine in Columbia, SC with 27 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Carl B Shealy, MD NPI is 1861467235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

121 PARK CENTRAL DR
200
COLUMBIA, SC
ZIP 29203-469
Phone: (803) 252-9907
Fax: (803) 252-9906

The NPI 1861467235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Automated urinalysis test (HCPCS:81003)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)

The enumeration date for this NPI number is 2/21/2006 and was last updated on 11/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology23581SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1204012517MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
2235819MEDICAIDSOUTH CAROLINA
3H125172040MEDICARE PINSOUTH CAROLINA
4H12517MEDICARE UPINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.