Dr Jack L Shortridge, EDD - Psychologist in N Charleston, SC

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Dr Jack L Shortridge, EDD is a Psychologist - Counseling based in N Charleston, South Carolina. Dr Jack L Shortridge is licensed to practice in Kentucky (license number KY-178) and his current practice location is 5300 International Blvd, Webster University, N Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 760-1324.

NPI number for Dr Jack L Shortridge is 1811103468 and his current mailing address is 104 W Shepard Ln, Summerville, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811103468.

Contact Information

Dr Jack L Shortridge, EDD
5300 International Blvd, Webster University,
N Charleston, SC 29418-6937
(843) 760-1324
(843) 760-1153

Map and Direction




Healthcare Provider's Profile

Full NameDr Jack L Shortridge
GenderMale
SpecialityPsychologist - Counseling
Location5300 International Blvd, N Charleston, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811103468
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 09/11/2025

Medical Identifiers

Medical identifiers for Dr Jack L Shortridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811103468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling KY-178 (Kentucky)Primary
106H00000XMarriage & Family Therapist 1213 (South Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack L Shortridge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack L Shortridge, EDD
104 W Shepard Ln,
Summerville, SC 29483-4242

Ph: (843) 821-0323		Dr Jack L Shortridge, EDD
5300 International Blvd, Webster University,
N Charleston, SC 29418-6937

Ph: (843) 760-1324

Reviews and Comments


Psychologist in N Charleston, SC

Holly H Hadley, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6650 Rivers Ave, N Charleston, SC 29406
Phone: 843-278-5221    Fax: 877-417-5177

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.