SHANNON STARK TAYLOR PHD
NPI 1275046567
Psychologist - Clinical in Greenville, SC
About Shannon Stark Taylor Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON STARK TAYLOR PHD (NPI 1275046567) is an individual clinical provider in Greenville, South Carolina, licensed in South Carolina (1479) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon Stark Taylor Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29605
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENVILLE, SC 29605
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 Taylor's NPI number?
The NPI number for Shannon Taylor is 1275046567. It was assigned to this individual provider in the NPPES registry on November 9, 2017.
Where is Shannon Taylor located?
Shannon Taylor practices at 877 W Faris Rd, Greenville, SC 29605. The listed phone number is (864) 455-7800.
What is Shannon Taylor's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Shannon Taylor enrolled in Medicare?
Yes. Shannon Taylor 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.
Which organization bills Medicare for Shannon Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Taylor reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Taylor accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health and 1 other insurer list Shannon Taylor 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 Taylor affiliated with any hospitals?
According to CMS data, Shannon Taylor is affiliated with Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Taylor was last updated on June 1, 2021. 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.
# Shannon Stark Taylor, PHD · NPI 1275046567
Clinical provider in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since November 9, 2017.
## Identity
- **NPI:** 1275046567 (Entity type: Individual)
- **Enumerated:** November 9, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 1479 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 877 W FARIS RD, Greenville, SC 29605-4289
- **Phone:** (864) 455-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Prisma Health University Medical Group (NPI 1053786483, Greenville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275046567) · Data from the CMS NPPES public registry.