Shanice Shannon, PA - Medicare Physician Assistant in Stockbridge, GA

Shanice Shannon, PA is a medicare enrolled "Physician Assistant" in Stockbridge, Georgia. Her current practice location is 1101 Hospital Dr Ste 100a, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 474-7416.

Shanice Shannon is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730840083.

Contact Information

Shanice Shannon, PA
1101 Hospital Dr Ste 100a,
Stockbridge, GA 30281-9076
(770) 474-7416
Not Available



Provider's Profile

Full NameShanice Shannon
GenderFemale
SpecialityPhysician Assistant
Location1101 Hospital Dr Ste 100a, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730840083
  • Provider Enumeration Date: 01/07/2022
  • Last Update Date: 12/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143697284
  • Enrollment ID: I20230427002371

Medical Identifiers

Medical identifiers for Shanice Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730840083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

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. Shanice Shannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanice Shannon, PA
1101 Hospital Dr Ste 100a,
Stockbridge, GA 30281-9076

Ph: (770) 474-7416
Shanice Shannon, PA
1101 Hospital Dr Ste 100a,
Stockbridge, GA 30281-9076

Ph: (770) 474-7416

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› Verified 2 days ago


Physician Assistant Nurses in Stockbridge, GA

Charles Everett Coppinger, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1492 Hudson Bridge Rd, Stockbridge, GA 30281
Phone: 404-255-1933    Fax: 404-553-9830
James Vincent Edwards, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281
Phone: 770-506-4350    Fax: 770-506-9860
Janet Holland, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 175 Country Club Dr, Bldg. 100 Suite C, Stockbridge, GA 30281
Phone: 770-507-1414    Fax: 770-507-5150
Michael C. Martin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 Eagles Walk, Suite A, Stockbridge, GA 30281
Phone: 770-914-0116    Fax: 770-914-7703
Charla V Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281
Phone: 404-307-3062    
Elizabeth Matheny Wolfe, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 404-367-3014    
Jerrica Miles, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281
Phone: 770-506-4350    

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