IndividualActive
Shana Wabibi, PA-C
NPI 1891503249 · Physician Assistant · Charleston, SC
Provider details
- NPI number
- 1891503249
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-15161 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
151a Rutledge Ave
Charleston, SC 29425-8903
Phone: (704) 807-2601
Street-level locationGet directions
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Additional practice locations (1)
- 601 N Elm StHigh Point, NC 27262-4331Phone: (336) 905-6060Fax: (336) 905-6061
Registry dates
- Enumerated
- 2024-12-18
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.