Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHAMEKA DENISE CARTER-MACK FNP-C
NPI 1083479117
Nurse Practitioner - Family in Greenville, SC

Q: What is Shameka Carter-mack's NPI number?

The NPI number for Shameka Carter-mack is 1083479117. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Q: What is Shameka Carter-mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 19, 2024PECOS Enrolled

8595 PELHAM RD STE 400, GREENVILLE, SC 29615(864) 316-8984(877) 337-6283 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Jul 23, 2026, Mar 17, 2025 and 1 more (4 updates tracked since 2024).

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About Mrs. Shameka Denise Carter-mack Fnp-c NPPES

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

MRS. SHAMEKA DENISE CARTER-MACK FNP-C (NPI 1083479117) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (29512) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083479117

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHAMEKA DENISE CARTER-MACKCredential: FNP-C

Location Address8595 PELHAM RD STE 400Greenville, SC 29615-5763

Mailing Address8595 Pelham Rd Ste 400Greenville, SC 29615-5763 · (864) 316-8984 · Fax (877) 337-6823

Phone(864) 316-8984

Fax(877) 337-6283

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 19, 2024

Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1083479117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 29512

8595 PELHAM RD STE 400, Greenville, SC 29615

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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. Shameka Denise Carter-mack Fnp-c 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 ID5597220533

PECOS Enrollment IDI20260721002515

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

BERNADETTE ANNE LIM TAN MD

Family Medicine