1. Home
  2. Directory
  3. South Carolina
  4. Summerville
  5. Physician Assistant
  6. NPI Profile

SHANNON BUCK PA-C
NPI 1497598965
Physician Assistant in Summerville, SC

Active since June 13, 2024PECOS Enrolled
1101 OLD TROLLEY RD STE 300, SUMMERVILLE, SC 29485(843) 376-2670 Get Directions Write a Review

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

Record update history: Jun 25, 2025, Jun 12, 2025, Jul 25, 2024 and 1 more (4 updates tracked since 2024).

About Shannon Buck Pa-c NPPES

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

SHANNON BUCK PA-C (NPI 1497598965) is an individual physician assistant in Summerville, South Carolina, licensed in South Carolina (5250) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1497598965
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON BUCKCredential: PA-C
Location Address1101 OLD TROLLEY RD STE 300Summerville, SC 29485-5294
Mailing AddressPo Box 530062Atlanta, GA 30353-0062
Phone(843) 376-2670
Sole ProprietorYes
Enumeration DateJune 13, 2024
Last NPPES UpdateJuly 21, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1497598965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 5250
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1101 OLD TROLLEY RD STE 300, Summerville, SC 29485
Open in Google Maps ↗

Secondary Practice Location 1

Location 1669 Marina Dr Ste A2Charleston, SC 29492-7573 · Phone (843) 491-9955

Other Identifiers 1

Medicaid8121PASC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Buck Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29485 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 7

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

ALISON PAIGE BULL P.A.
Physician Assistant
1101 OLD TROLLEY RD STE 300
SUMMERVILLE, SC 29485
Dorchester County (843) 376-2670
AMELIA G. HILL FNP
Nurse Practitioner (Family)
1101 OLD TROLLEY RD STE 300
SUMMERVILLE, SC 29485
Dorchester County (843) 376-2670
KARLEE JORGENSON PA-C
Physician Assistant
1101 OLD TROLLEY RD STE 300
SUMMERVILLE, SC 29485
Dorchester County (843) 376-2670
LAUREN PODOLL PA
Physician Assistant
1101 OLD TROLLEY RD STE 300
SUMMERVILLE, SC 29485
Dorchester County (843) 695-6071
MRS. EMILY JEAN KACHELMEYER APRN, CNS
Clinical Nurse Specialist (Gerontology)
1101 OLD TROLLEY RD STE 300
SUMMERVILLE, SC 29485
Dorchester County (843) 376-2670
LAURA A. KHOURY PA
Physician Assistant
1101 OLD TROLLEY RD STE 300
SUMMERVILLE, SC 29485
Dorchester County (843) 376-2670
SERENE CHEUNG PA
Physician Assistant
1101 OLD TROLLEY RD STE 300
SUMMERVILLE, SC 29485
Dorchester County (843) 376-2670

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 Buck's NPI number?

The NPI number for Shannon Buck is 1497598965. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Shannon Buck located?

Shannon Buck practices at 1101 Old Trolley Rd Ste 300, Summerville, SC 29485. The listed phone number is (843) 376-2670.

What is Shannon Buck's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Buck enrolled in Medicare?

Yes. Shannon Buck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Buck was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.