Individual provider Active NPI

Shannon L Carr, MD

  • Obstetrics & Gynecology Physician
  • Portland, ME
National Provider Identifier
1023016789
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD16521 Issued in ME
Practice address
887 Congress St Ste 200
Portland, ME 04102-3166
Phone
(207) 771-5549
Fax
(207) 771-7834
NPI assigned
Jul 7, 2005
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD2012-001 NM
Obstetrics & Gynecology Physician 207V00000X 042.0016362 VT
Obstetrics & Gynecology Physician 207V00000X 036151111 IL
Obstetrics & Gynecology Physician 207V00000X MD16521 ME Primary
Obstetrics & Gynecology Physician 207V00000X 23235 NH

Addresses

Primary practice location

887 Congress St Ste 200
Portland, ME 04102-3166

Mailing address

887 Congress St Ste 200
Portland, ME 04102-3166
Phone (207) 771-5549

Other practice location 1

35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (120) 762-6100

Other practice location 2

659 W Washington Blvd
Chicago, IL 60661-2118
Phone (312) 707-8988

Other identifiers 1

IdentifierTypeStateIssuer
416350099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041210000885 ME Practitioner - Obstetrics/Gynecology 7517924525 Reassigns benefits to 3 organizations
I20230718002738 NH Practitioner - Obstetrics/Gynecology 7517924525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036151111ILMDObstetrics & Gynecology Physician
MD16521MEMDObstetrics & Gynecology Physician
23235NHMDObstetrics & Gynecology Physician
MD2012-001NMMDObstetrics & Gynecology Physician
042.0016362VTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 11, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Planned Parenthood of Northern New England, Inc Obstetrics & Gynecology CurrentSince Sep 27, 2018 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Mainehealth CurrentSince Oct 11, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Planned Parenthood of Northern New England PastSince Sep 27, 2018 Accepting new patients
Family Planning Associates Medical Group LTD. Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

149 North St
Waterville, ME 04901
Phone (207) 622-1959

108 High St
Exeter, NH 03833
Phone (603) 772-9315

24 Pennacook St
Manchester, NH 03104
Phone (603) 669-7321

784 Hercules Dr
Ste 110
Colchester, VT 05446
Phone (802) 448-9784

Interoperability endpoints

  • Direct secure messaging: scarr624@direct.mmc.mainehealth.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1023016789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 CONGRESS ST STE 200",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023166",
            "telephone_number": "207-771-5549",
            "fax_number": "207-771-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 CONGRESS ST STE 200",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023166",
            "telephone_number": "207-771-5549",
            "fax_number": "207-771-7834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043308160",
            "country_code": "US",
            "telephone_number": "120-762-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "659 W Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606612118",
            "country_code": "US",
            "telephone_number": "312-707-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2012-001",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "042.0016362",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036151111",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD16521",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "23235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416350099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.