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

Ifekan-Shango Simon

Individual provider Family Medicine Physician · NPI 1992742837

Ifekan-Shango Simon is a Family Practice in Spartanburg, South Carolina. Graduated from Medical College of Georgia School of Medicine in 1994, 32 years ago. Practices with Medcare Express - North Charleston LLC, a 69-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
32
Trained at
Medical College of Georgia School of Medicine
Licensed in
SC
In the registry since
2006

Practice location Address checks out

853 N Church St Ste 510
Spartanburg, SC 29303-3098
Phone: (864) 560-1558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22352 (SC)

Record details

NPI number1992742837
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 20, 2013

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Medcare Express - North Charleston Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spartanburg