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

Shaena Victoria Waggoner, FNP

Individual provider Registered Nurse · NPI 1013753904

Shaena Victoria Waggoner, FNP is a Nurse Practitioner in North Augusta, South Carolina. Qualified in 2024, 2 years ago. Practices with Rural Urgent Care LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Georgia, North Carolina and South Carolina.

Years since qualifying
2
Licensed in
GA, NC, SC
In the registry since
2024
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

140 Allen Ct
North Augusta, SC 29860-9782
Phone: (803) 510-0007
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 31005 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 293656 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence GAA-NP002533 (GA)

Record details

NPI number1013753904
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rural Urgent Care Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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