MRS. SHANNON GARLOCK DAVIS MA, LPC
NPI 1063985968
Counselor - Professional in Pawleys Island, SC

Q: What is Shannon Davis's NPI number?

The NPI number for Shannon Davis is 1063985968. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Q: What is Shannon Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Davis was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2019PECOS EnrolledAccepts Medicare Assignment

14323 OCEAN HWY UNIT 4103, PAWLEYS ISLAND, SC 29585(843) 602-0884 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2025, Jan 3, 2019 (2 updates tracked since 2019).

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About Mrs. Shannon Garlock Davis Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON GARLOCK DAVIS MA, LPC (NPI 1063985968) is an individual professional provider in Pawleys Island, South Carolina, licensed in South Carolina (4574) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Georgetown, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063985968

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. SHANNON GARLOCK DAVISCredential: MA, LPC

Location Address14323 OCEAN HWY UNIT 4103Pawleys Island, SC 29585-4817

Mailing Address114 Lake TrlPawleys Island, SC 29585-7211 · (843) 602-0884

Phone(843) 602-0884

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJanuary 3, 2019

Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1063985968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 4574

Also ListedCounselorTaxonomy 101Y00000X · License 4574 (SC)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4574 (SC)

14323 OCEAN HWY UNIT 4103, Pawleys Island, SC 29585

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Secondary Practice Location 1

Location 1103 Queen St Ste DGeorgetown, SC 29440-3633 · Phone (843) 602-0884

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon Garlock Davis Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800311317

PECOS Enrollment IDI20250417000609

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEAST MATERNAL MEDICAL SUPPLY INC

Counselor (Professional)