SHANNON STAFFORD
NPI 1093301103
Specialist - Prosthetics Case Management in Summerville, SC

Q: What is Shannon Stafford's NPI number?

The NPI number for Shannon Stafford is 1093301103. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Q: What is Shannon Stafford's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Stafford was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 December 14, 2020

10125 DORCHESTER RD STE A7, SUMMERVILLE, SC 29485(843) 520-9934 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Stafford NPPES

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

SHANNON STAFFORD (NPI 1093301103) is an individual prosthetics case management provider in Summerville, South Carolina, licensed in South Carolina (73192) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1093301103

Entity TypeIndividualFemale

Primary Taxonomy1744P3200X

Provider Legal NameSHANNON STAFFORD

Location Address10125 DORCHESTER RD STE A7Summerville, SC 29485-8548

Mailing Address144 Ben Rufus DrGeorgetown, SC 29440-8753

Phone(843) 520-9934

Sole ProprietorNo

Enumeration DateDecember 14, 2020

NPPES CertifiedDecember 14, 2020

✔ NPI 1093301103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

License✔ Licensed in SC · 73192

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

10125 DORCHESTER RD STE A7, Summerville, SC 29485

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Stafford's NPI number?

The NPI number for Shannon Stafford is 1093301103. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is Shannon Stafford located?

Shannon Stafford practices at 10125 Dorchester Rd Ste A7, Summerville, SC 29485. The listed phone number is (843) 520-9934.

What is Shannon Stafford's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Shannon Stafford was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.