Individual provider Active NPI

Shannon Lynne Monteleone, CRNA

  • Certified Registered Nurse Anesthetist
  • Brunswick, GA
National Provider Identifier
1013488220
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN230853 Issued in GA
Practice address
2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone
(912) 466-7000
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 27094 SC
Certified Registered Nurse Anesthetist 367500000X 2022035596 MO
Certified Registered Nurse Anesthetist 367500000X RN230853 GA Primary

Addresses

Primary practice location

2415 Parkwood Dr
Brunswick, GA 31520-4722

Mailing address

122 Druid Cir
Savannah, GA 31410-3961
Phone (912) 656-6619

Other practice location 1

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021

Other practice location 2

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other practice location 3

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (843) 876-1344

Other identifiers 1

IdentifierTypeStateIssuer
AN3611MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190628002655 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597099259 Reassigns benefits to 4 organizations
I20230317002651 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597099259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology Associates of Georgia LLCGroup PAC ID 7618934779, 230 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
SE Georgia Anesthesia, LLCGroup PAC ID 8426466137, 114 clinicians

Practice addresses (Care Compare)

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

4700 Waters Ave
(Memorial Health University Medical Center)
Savannah, GA 31404-6220
Phone (912) 350-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
27094SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia of Coastal Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2022 Accepting new patients
SE Georgia Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2024 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Jul 4, 2021 Accepting new patients
Musc Community Physicians CurrentSince Jul 28, 2025 Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jul 28, 2025 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

11909 McAuley Dr
Ste B
Savannah, GA 31419
Phone (912) 819-2237

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

519 Stephenson Ave
Savannah, GA 31405

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1013488220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DRUID CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103961",
            "telephone_number": "912-656-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Clay Edwards Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163254",
            "country_code": "US",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291181442",
            "country_code": "US",
            "telephone_number": "843-876-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTELEONE",
        "first_name": "SHANNON",
        "middle_name": "LYNNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "27094",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2022035596",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN230853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN3611",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3000 Saint Matthews Rd",
            "city": "Orangeburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291181442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.