Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Thomas David Shelburne III, PA-C

Individual provider Physician Assistant · NPI 1811764467

Mr. Thomas David Shelburne III, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2023, 3 years ago. Practices with Advanced Dermatology of SC PC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

610 Columbiana Dr
Columbia, SC 29212-0728
Phone: (803) 902-6568
Fax: (803) 902-6570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3574 Sunset Blvd, West Columbia, SC 29169-3044 — (803) 796-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5178 (SC)

Record details

NPI number1811764467
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Dermatology Of Sc Pc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $3,150 127 payments · a meal or drink at a meeting or visit, not a fee
Education $228 3 payments · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Advanced Dermatology of SC PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 34 clinicians in the practice; 12 are shown here.

Other providers in Columbia