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

Shawn A Bollinger, PA

Individual provider Surgical Physician Assistant · NPI 1457377616

Shawn A Bollinger, PA is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2000, 26 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and South Carolina.

Years since qualifying
26
Licensed in
IN, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

225 E Wood St
Spartanburg, SC 29303-3050
Phone: (864) 560-4420
Fax: (864) 560-5296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Hospital Center Blvd Ste 306, Hilton Head Island, SC 29926-2739 — (843) 689-8224

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2363 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10000462A (IN)

Record details

NPI number1457377616
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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