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SHAWN CHILDRESS
NPI 1962839209
Anesthesiologist Assistant in Charleston, SC

Active since October 01, 2013Accepts Medicare Assignment
1064 GARDNER RD STE 112, CHARLESTON, SC 29407(843) 723-3441 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2024, Oct 17, 2023 (2 updates tracked since 2023).

About Shawn Childress NPPES

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

SHAWN CHILDRESS (NPI 1962839209) is an individual anesthesiologist assistant in Charleston, South Carolina, licensed in South Carolina (87) and active in the NPI registry since October 2013. He is affiliated with Trident Medical Center, maintains a secondary practice location in Charleston, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962839209
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameSHAWN CHILDRESS
Location Address1064 GARDNER RD STE 112Charleston, SC 29407-5768
Mailing AddressPo Box 603484Charlotte, NC 28260-3484 · (803) 765-1732 · Fax (803) 765-1732
Phone(843) 723-3441
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 1, 2013
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1962839209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses✔ Licensed in SC · 87✔ Licensed · 6906
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1064 GARDNER RD STE 112, Charleston, SC 29407
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Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1436 · Fax (843) 402-1833

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Shawn Childress 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.

PECOS PAC ID8729213640
PECOS Enrollment IDI20211213002504

Medicare Billing Reassignments

6

Medicare enrollment records show Shawn Childress reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours St Francis Xavier Hospital, Inc.
1.5 mi
Cardiovascular Disease
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 375 clinicians in this Medicare group
NPI 1740502822 (843) 789-1620
Trident Anesthesia Group, LLC
12 mi
Anesthesiology
9263 MEDICAL PLAZA DR., STE E
Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 154 clinicians in this Medicare group
NPI 1376595520 (843) 572-1228
American Anesthesiology Associates Of Georgia, LLC
247 mi
Anesthesiology
2171 WEST PARK COURT, SUITE A
Stone Mountain, GA 30087
  • Reassigned Medicare billing, Georgia enrollment
  • 650 clinicians in this Medicare group
NPI 1528068673 (678) 514-1991
Northlake Anesthesia Professionals, LLC
261 mi
Anesthesiology
303 PARKWAY DR NE, PMB 404
Atlanta, GA 30312
  • Reassigned Medicare billing, Georgia enrollment
  • 49 clinicians in this Medicare group
NPI 1982637419 (404) 265-4520
Piedmont Anesthesia Associates, L.L.C
263 mi
Anesthesiology
1984 PEACHTREE ROAD NW, SUITE 515
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 441 clinicians in this Medicare group
NPI 1407856594 (404) 351-1745
Mak Anesthesia Holdings LLC
277 mi
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
NPI 1912452939 (770) 702-1806

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
30 services30 patients
Anesthesia for x-ray on artery of brain, heart, or chest 01926
Anesthesia is given before an x-ray of the brain, heart, or chest artery to ensure comfort and stillness. It helps to eliminate discomfort or pain during the procedure. It's administered by a trained professional, ensuring a safe and smooth procedure.
29 services29 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

DR. EDWARD DUDLEY COLHOUN V MD
Anesthesiology
1064 GARDNER RD STE 112
CHARLESTON, SC 29407
Charleston County (843) 723-3441
DANIEL ARCE
Anesthesiology
1064 GARDNER RD STE 112
CHARLESTON, SC 29407
Charleston County (843) 723-3441
DR. ALLEN E PENDARVIS JR. M.D.
Anesthesiology
1064 GARDNER RD STE 112
CHARLESTON, SC 29407
Charleston County (843) 723-3441

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 Shawn Childress's NPI number?

The NPI number for Shawn Childress is 1962839209. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Shawn Childress located?

Shawn Childress practices at 1064 Gardner Rd Ste 112, Charleston, SC 29407. The listed phone number is (843) 723-3441.

What is Shawn Childress's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Shawn Childress enrolled in Medicare?

Yes. Shawn Childress 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 organizations bill Medicare for Shawn Childress's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Childress reassigns Medicare benefits to 6 organizations: Bon Secours St Francis Xavier Hospital, Inc. (Charleston, SC), Trident Anesthesia Group, LLC (Charleston, SC), American Anesthesiology Associates Of Georgia, LLC (Stone Mountain, GA), Northlake Anesthesia Professionals, LLC (Atlanta, GA), Piedmont Anesthesia Associates, L.L.C (Atlanta, GA) and 1 more organization, listed in the Medicare section above. 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 Shawn Childress's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Childress accept?

Health plans from First Choice Next list Shawn Childress 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 Shawn Childress affiliated with any hospitals?

According to CMS data, Shawn Childress is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Shawn Childress was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.