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

Shawn Childress

Individual provider Anesthesiologist Assistant · NPI 1962839209

Shawn Childress is an Anesthesiology Assistant in Charleston, South Carolina. Qualified in 2013, 13 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
13
Licensed in
SC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1064 Gardner Rd Ste 112
Charleston, SC 29407-5768
Phone: (843) 723-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 — (843) 402-1436

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 87 (SC)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 6906

Record details

NPI number1962839209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 1, 2013
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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