Individual provider

Shawn Childress

Anesthesiologist Assistant Medicare enrolled

Shawn Childress is an Anesthesiologist Assistant in Charleston, SC, registered under NPI 1962839209.

Getting there

The practice address on file is 1064 GARDNER RD STE 112, Charleston, SC 29407. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1064 GARDNER RD STE 112, Charleston, SC 29407 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
87 SC Anesthesiologist Assistant primary
6906 Anesthesiologist Assistant

This provider holds licence 87 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 - Anesthesiology Assistant
PAC ID
8729213640

Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Anesthesiologist Assistant covers

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. NUCC Health Care Provider Taxonomy, code 367H00000X
Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
367H00000X Anesthesiologist Assistant 87 SC primary
367H00000X Anesthesiologist Assistant 6906

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.

NPI1962839209 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 1, 2013
Last updatedMay 14, 2024
StatusActive
Sole proprietorNo
Practice address 1064 GARDNER RD STE 112
Charleston, SC 29407
(843) 723-3441
Mailing address PO BOX 603484
Charlotte, NC 28260
This record was updated on May 14, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1962839209 passes the NPI check digit test The final digit 9 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 9 6 2 8 3 9 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 3 2 7 3 9 2 0

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

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 1962839209?
NPI 1962839209 is the National Provider Identifier assigned to Shawn Childress in Charleston, 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 Anesthesiologist Assistant cover?
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…
How do I contact Shawn Childress?
The phone number on file with NPPES is (843) 723-3441, last updated May 14, 2024. 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 Shawn Childress 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 1962839209 a valid number?
Yes. 1962839209 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.