Shannon Marie Burgess
M.D. | Pediatrics | Female
Shannon Marie Burgess, M.D. is a Greenville, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shannon Marie Burgess is
1809 Wade Hampton Blvd, Suite 120, Greenville, South Carolina - 29609-4041. She can be contacted on phone at
864-522-7000 and fax number 864-241-9275.
Shannon Marie Burgess is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon Marie Burgess is
1205198637 which was assigned by NPPES on 12 Jun, 2012 and it was last updated on 23 May, 2021.
Shannon Marie Burgess license number is
34858 for Pediatrics (208000000X) in South Carolina.
Shannon Marie Burgess is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shannon Marie Burgess basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shannon Marie Burgess |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Shannon Marie Burgess address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1809 Wade Hampton Blvd, Suite 120
Greenville, SC, 29609-4041
United States |
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| Phone Number : | 864-522-7000 |
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| Fax Number : | 864-241-9275 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205198637 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jun, 2012 |
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| Last Updated On : | 23 May, 2021 |
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Medicare Participation:
Shannon Marie Burgess participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3375708886 |
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| Medicare Enrollment ID : | I20160908002081 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of South Alabama College Of Medicine |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Shannon Marie Burgess accepts medicare insurance. |
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Group Practice Association:
Shannon Marie Burgess is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon Marie Burgess is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Prisma Health University Medical Group | 8325950983 | 2133 | 1809 Wade Hampton Blvd
Suite 120
Greenville, SC - 296094050
Ph: 8645225000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Marie Burgess are as mentioned. Primary taxonomy code for Shannon Marie Burgess, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 34858 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Shannon Marie Burgess such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| PENDING | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sburgess5816@direct.ghs.myhfn.org
| No affiliation | DIRECT
Direct
| OTHER
Other
sburgess5816@direct.ghs.myhfn.org | 1809 WADE HAMPTON BLVD, SUITE 120
GREENVILLE, SC, 29609-4041
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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| Phone Number : | 864-522-8617 |
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Business Location:
Patients can refer following map for directions to
Shannon Marie Burgess practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.