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SHANNON E CARSON DMD
NPI 1871605139
Dentist - General Practice in Spartanburg, SC

Active since August 31, 2006PECOS Enrolled
362 N PINE ST STE C, SPARTANBURG, SC 29302(864) 398-4185(864) 594-0040 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon E Carson Dmd NPPES

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

SHANNON E CARSON DMD (NPI 1871605139) is an individual general practice provider in Spartanburg, South Carolina, licensed in South Carolina (8730) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871605139
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHANNON E CARSONCredential: DMD
Location Address362 N PINE ST STE CSpartanburg, SC 29302-1631
Mailing AddressPo Box 5158Spartanburg, SC 29304-5158 · (864) 398-4185
Phone(864) 398-4185
Fax(864) 594-0040
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1871605139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in SC · 8730✔ Licensed in VA · 0401411458
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
362 N PINE ST STE C, Spartanburg, SC 29302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 E Carson Dmd 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 Reassignment

Medicare enrollment records show Shannon Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regenesis Organization Community Health Center
Same address
Federally Qualified Health Center (FQHC)
460 LANGDON ST.
Spartanburg, SC 29302
NPI 1457745952 (864) 582-2817

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 29302 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

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

EMILY GILSTRAP COLAO DMD
Dentist (General Practice)
362 N PINE ST STE C
SPARTANBURG, SC 29302
Spartanburg County (864) 398-4185

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 Carson's NPI number?

The NPI number for Shannon Carson is 1871605139. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Shannon Carson located?

Shannon Carson practices at 362 N Pine St Ste C, Spartanburg, SC 29302. The listed phone number is (864) 398-4185.

What is Shannon Carson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shannon Carson enrolled in Medicare?

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

Which organization bills Medicare for Shannon Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Carson reassigns Medicare benefits to Regenesis Organization Community Health Center (Spartanburg, 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 Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Carson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Shannon Carson 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 Carson was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.