Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cynthia May Fagan Shaw

Individual provider Family Nurse Practitioner · NPI 1821609322

Cynthia May Fagan Shaw is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2020, 6 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
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Practice location Address checks out

200 Patewood Dr Ste B350
Greenville, SC 29615-6337
Phone: (864) 454-4500
Fax: (864) 454-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 24161 (SC)

Record details

NPI number1821609322
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Greenville