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SHANNON MARIE PHILIPPS DO
NPI 1215490776
Family Medicine - Sports Medicine in Surfside Beach, SC

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
1413 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575(843) 347-8041(843) 347-8042 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, May 17, 2024, Apr 8, 2024 and 3 more (6 updates tracked since 2019).

About Shannon Marie Philipps Do NPPES

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

SHANNON MARIE PHILIPPS DO (NPI 1215490776) is an individual sports medicine provider in Surfside Beach, South Carolina, licensed in South Carolina (93574) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215490776
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameSHANNON MARIE PHILIPPSCredential: DO
Location Address1413 HIGHWAY 17 NSurfside Beach, SC 29575-6012
Mailing Address300 Singleton Ridge Rd, Attention CredentialingConway, SC 29526-9142
Phone(843) 347-8041
Fax(843) 347-8042
Sole ProprietorNo
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateNovember 21, 20256 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1215490776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in SC · 93574
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1413 HIGHWAY 17 N, Surfside Beach, SC 29575
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Secondary Practice Locations 3

Location 16010 Highway 707 Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 347-8041 · Fax (843) 347-8042
Location 21100 62nd Ave NMyrtle Beach, SC 29572-7202 · Phone (843) 347-8041 · Fax (843) 347-8042
Location 38004 Myrtle Trace Dr Ste 200Conway, SC 29526-8945 · Phone (843) 347-8041 · Fax (843) 347-8042

Other Identifiers 1

Medicaid935741SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South 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

Shannon Marie Philipps Do 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 ID8224363049
PECOS Enrollment IDI20250312000176
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29575 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 9

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

GABRIELLA LEARY PA-C
Physician Assistant (Medical)
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5654
MR. BRENDEN M BLASCHKE DPT
Physical Therapist
1413 HIGHWAY 17 N, SUITE A
SURFSIDE BEACH, SC 29575
Horry County (843) 238-9542
LINDSEY THOMAS BUDHOO NP
Nurse Practitioner (Family)
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5654
DR. DAN MUNTEAN MD
Family Medicine
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5654
PRIMARY MEDICAL, LLC
Family Medicine
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5654
MELANIE H PORTER NP
Nurse Practitioner (Family)
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5654
CONWAY HOSPITAL, INC.
Family Medicine
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5654
MR. JAMES MARVIN VEST M.D.
Family Medicine
1413 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5654

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 Philipps's NPI number?

The NPI number for Shannon Philipps is 1215490776. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Shannon Philipps located?

Shannon Philipps practices at 1413 Highway 17 N, Surfside Beach, SC 29575. The listed phone number is (843) 347-8041.

What is Shannon Philipps's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Shannon Philipps enrolled in Medicare?

Yes. Shannon Philipps is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Philipps accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Shannon Philipps 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.

Is Shannon Philipps affiliated with any hospitals?

According to CMS data, Shannon Philipps is affiliated with Conway Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Philipps was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.