Healthcare Provider Details

I. General information

NPI: 1639819808
Provider Name (Legal Business Name): RACHEL MICHELLE SHUGART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RICHLAND MEDICAL PARK DR
COLUMBIA SC
29203-6834
US

IV. Provider business mailing address

1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA SC
29203-6831
US

V. Phone/Fax

Practice location:
  • Phone: 803-417-7193
  • Fax:
Mailing address:
  • Phone: 864-419-4310
  • Fax: 864-419-4310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD97739
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD87739
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: