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

Shannon Johnson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1063513307

Shannon Johnson, MD is an Obstetrics/Gynecology in Greenville, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1995, 31 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
31
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

213 Halton Rd
Greenville, SC 29607-3509
Phone: (864) 382-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 19340 (SC)

Record details

NPI number1063513307
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESOctober 31, 2014

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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