Individual provider

Shannon Philipps, DO

Sports Medicine (Family Medicine) Physician Medicare enrolled

Shannon Philipps, DO is a Sports Medicine (Family Medicine) Physician in Surfside Beach, SC, registered under NPI 1215490776.

Getting there

The practice address on file is 1413 HIGHWAY 17 N, Surfside Beach, SC 29575. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1413 HIGHWAY 17 N, Surfside Beach, SC 29575 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
93574 SC Sports Medicine (Family Medicine)… primary

This provider holds licence 93574 issued in SC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Sports Medicine
PAC ID
8224363049

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Georgia I20240105003546 Practitioner - Sports Medicine
South Carolina I20250312000176 Practitioner - Sports Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Sports Medicine. There are 2 separate enrolment records across 2 states (GA, SC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Sports Medicine covers

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. NUCC Health Care Provider Taxonomy, code 207QS0010X
Allopathic & Osteopathic Physicians Family Medicine Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215490776 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 11, 2019
Last updatedNov 21, 2025
StatusActive
Sole proprietorNo
CredentialDO
Practice address 1413 HIGHWAY 17 N
Surfside Beach, SC 29575
(843) 347-8041
Fax (843) 347-8042
Mailing address 300 SINGLETON RIDGE RD ATTENTION CREDENTIALING
Conway, SC 29526
Other identifiers 935741 · Medicaid (SC)
This record was updated on Nov 21, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1215490776 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 4 9 0 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 8 9 0 7 5

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215490776?
NPI 1215490776 is the National Provider Identifier assigned to Shannon Philipps, DO in Surfside Beach, SC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the…
How do I contact Shannon Philipps, DO?
The phone number on file with NPPES is (843) 347-8041, last updated Nov 21, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shannon Philipps, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215490776 a valid number?
Yes. 1215490776 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.