ALEXANDRA CORLEY SHAW PMHNP-BC
NPI 1205428349
Nurse Practitioner - Psychiatric/Mental Health in Greenville, SC

Active since February 10, 2021
429 ROPER MOUNTAIN RD STE 901, GREENVILLE, SC 29615(864) 734-7165(864) 203-4587 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, Feb 10, 2021 (2 updates tracked since 2021).

About Alexandra Corley Shaw Pmhnp-bc NPPES

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

ALEXANDRA CORLEY SHAW PMHNP-BC (NPI 1205428349) is an individual psychiatric/mental health provider in Greenville, South Carolina, licensed in South Carolina (24667) and active in the NPI registry since February 2021. She maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1205428349
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALEXANDRA CORLEY SHAWCredential: PMHNP-BC
Location Address429 ROPER MOUNTAIN RD STE 901Greenville, SC 29615-4254
Mailing Address1 Pennwood LnGreenville, SC 29609-1643 · (803) 269-8685
Fax(864) 203-4587
Sole ProprietorYes
Enumeration DateFebruary 10, 2021
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1205428349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in SC · 24667
429 ROPER MOUNTAIN RD STE 901, Greenville, SC 29615

Secondary Practice Location 1

Location 11911 Gadsden St Ste 101Columbia, SC 29201-6400 · Phone (803) 335-5232

Accepted Insurance

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.

Counselor (Professional)
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615
Clinic/Center (Mental Health (Including Community Mental Health Center))
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615
Nurse Practitioner (Psychiatric/Mental Health)
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615
Counselor (Professional)
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615
Psychiatry & Neurology (Psychiatry)
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615
Counselor
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615
Clinic/Center (Mental Health (Including Community Mental Health Center))
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615
Counselor (Mental Health)
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615

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 Alexandra Shaw's NPI number?

The NPI number for Alexandra Shaw is 1205428349. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Alexandra Shaw located?

Alexandra Shaw practices at 429 Roper Mountain Rd Ste 901, Greenville, SC 29615. The listed phone number is (864) 734-7165.

What is Alexandra Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Alexandra Shaw accept?

Health plans from BlueCross BlueShield of South Carolina list Alexandra Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Shaw was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.