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20TH MEDGRP-SHAW
NPI 1336112440
Clinic/Center - Military/U.S. Coast Guard Outpatient in Shaw Afb, SC

Active since February 09, 2006
431 MEADOWLARK ST, SHAW AFB, SC 29152(803) 895-6526(803) 895-6419 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, May 30, 2025 (2 updates tracked since 2025).

About 20th Medgrp-shaw NPPES

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

20TH MEDGRP-SHAW (NPI 1336112440) is a healthcare organization registered as a military/u.s. coast guard outpatient in Shaw Afb, South Carolina and active in the NPI registry since February 2006. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1336112440
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name20TH MEDGRP-SHAW
Location Address431 MEADOWLARK STShaw Afb, SC 29152-5019
Mailing Address431 Meadowlark StShaw Afb, SC 29152-5019 · (803) 895-6526 · Fax (803) 895-6419
Phone(803) 895-6526
Fax(803) 895-6419
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1336112440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Also ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
431 MEADOWLARK ST, Shaw Afb, SC 29152
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Other Identifiers 1

Other4222903SC · Ncpdp

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.

DR. KEVIN JOHN WILL DMD
Dentist
431 MEADOWLARK ST
SHAW AFB, SC 29152
Sumter County (803) 895-6988
MR. ROBERT JOSEPH CURRIER JR. IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
431 MEADOWLARK ST
SHAW A F B, SC 29152
Sumter County (803) 895-6746
KELLY CARTER RN
Registered Nurse
431 MEADOWLARK ST
SHAW AFB, SC 29152
Sumter County (803) 895-6598
SUZAN BEATTIE
Social Worker (Clinical)
431 MEADOWLARK ST
SHAW AFB, SC 29152
Sumter County (803) 895-6199
TAMMY TENACE NP
Nurse Practitioner (Women's Health)
431 MEADOWLARK ST
SHAW A F B, SC 29152
Sumter County (803) 895-6580
DR. RYAN R LANDOLL PH.D.
Psychologist (Clinical)
431 MEADOWLARK ST
SHAW AFB, SC 29152
Sumter County (803) 895-6199
DR. DANA MCLEOD PHARM D
Pharmacist
431 MEADOWLARK ST
SHAW A F B, SC 29152
Sumter County (803) 895-6464
JAVIER URTEAGA JR.
Physician Assistant
431 MEADOWLARK ST
SHAW AFB, SC 29152
Sumter County (803) 895-2273

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 20th Medgrp-Shaw's NPI number?

The NPI number for 20th Medgrp-Shaw is 1336112440. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is 20th Medgrp-Shaw located?

20th Medgrp-Shaw is located at 431 Meadowlark St, Shaw Afb, SC 29152. The listed phone number is (803) 895-6526.

What is 20th Medgrp-Shaw's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 20th Medgrp-Shaw was last updated on June 17, 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.