ELIZABETH ANNE SHIRLEY M.D.
NPI 1174883128
Pediatrics in Greenville, SC

Q: What is Elizabeth Shirley's NPI number?

The NPI number for Elizabeth Shirley is 1174883128. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Q: What is Elizabeth Shirley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Shirley was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 24, 2012PECOS Enrolled

175 PATEWOOD DR, GREENVILLE, SC 29615(864) 797-1403(864) 455-3884 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elizabeth Anne Shirley M.d. NPPES

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

ELIZABETH ANNE SHIRLEY M.D. (NPI 1174883128) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (34667) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of University Of South Carolina School Of Medicine (2012).

NPPES Registry Identity

NPI1174883128

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameELIZABETH ANNE SHIRLEYCredential: M.D.

Location Address175 PATEWOOD DRGreenville, SC 29615-3570

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(864) 797-1403

Fax(864) 455-3884

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012

Enumeration DateMay 24, 2012

Last NPPES UpdateSeptember 9, 2025

NPPES CertifiedSeptember 9, 2025

✔ NPI 1174883128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 34667

Definition

A pediatrician 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.

175 PATEWOOD DR, Greenville, SC 29615

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Secondary Practice Location 1

Location 1701 Grove Rd, Balcony Suite 4Greenville, SC 29605-5611 · Phone (864) 455-7895 · Fax (864) 455-7807

Other Identifiers 1

Medicaid346673SC

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Anne Shirley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870741804

PECOS Enrollment IDI20251001001246

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Shirley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ghs Partners In Health, Inc.

1.2 mi

Dermatology

920 WOODRUFF RD
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Prisma Health University Medical Group
3,281 clinicians in this Medicare group

NPI 1235446337 (864) 233-6338

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 20

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

PHYLLIS MINGO PHARM. D.

Pharmacist