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SHANNON NICOLE JAMES MD
NPI 1689916264
Pediatrics in Greenville, SC

Active since March 21, 2013PECOS Enrolled
703 VERDAE BLVD, GREENVILLE, SC 29607(864) 288-5402(864) 234-7961 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2022, Aug 7, 2018, Sep 13, 2016 (3 updates tracked since 2016).

About Shannon Nicole James Md NPPES

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

SHANNON NICOLE JAMES MD (NPI 1689916264) is an individual pediatrics provider in Greenville, South Carolina, licensed in Indiana (01077290A) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1689916264
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON NICOLE JAMESCredential: MD
Location Address703 VERDAE BLVDGreenville, SC 29607
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(864) 288-5402
Fax(864) 234-7961
Sole ProprietorNo
Enumeration DateMarch 21, 2013
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1689916264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01077290A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
703 VERDAE BLVD, Greenville, SC 29607
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Secondary Practice Location 1

Location 11115 Ronald Reagan Pkwy # C1600Avon, IN 46123-6910 · Phone (317) 217-3720 · Fax (317) 222-2185

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Nicole James Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon James reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Care Associates, Inc
402 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
Iu Health Medical Group, LLC
402 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 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 5

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

MRS. MEGAN ENGSTROM LPC
Counselor (Mental Health)
703 VERDAE BLVD
GREENVILLE, SC 29607
Greenville County (864) 743-8444
ALEXIS REAMER
Counselor (Mental Health)
703 VERDAE BLVD
GREENVILLE, SC 29607
Greenville County (864) 715-9390
AMY GRACE RICKWALDER LPC
Counselor (Mental Health)
703 VERDAE BLVD
GREENVILLE, SC 29607
Greenville County (864) 715-9390
SARAH FOSTER MCKISSICK LPCA
Counselor (Professional)
703 VERDAE BLVD
GREENVILLE, SC 29607
Greenville County (864) 288-5402
LEE S GLENN MD
Pediatrics
703 VERDAE BLVD
GREENVILLE, SC 29607
Greenville County (864) 288-5402

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 James's NPI number?

The NPI number for Shannon James is 1689916264. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Shannon James located?

Shannon James practices at 703 Verdae Blvd, Greenville, SC 29607. The listed phone number is (864) 288-5402.

What is Shannon James's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon James enrolled in Medicare?

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

Which organizations bill Medicare for Shannon James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon James reassigns Medicare benefits to 2 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each 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 James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon James accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Shannon James 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 Shannon James was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.