Individual provider Active NPI

Shannon Marie Madison, M.D.

  • Obstetrics & Gynecology Physician
  • Nashville, TN
National Provider Identifier
1023428588
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
68900 Issued in TN
Practice address
2011 Murphy Ave Ste 601
Nashville, TN 37203-2220
Phone
(615) 329-6622
Fax
(615) 329-6785
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.132602 OH
Obstetrics & Gynecology Physician 207V00000X 68900 TN Primary

Addresses

Primary practice location

2011 Murphy Ave Ste 601
Nashville, TN 37203-2220

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other names 1

  • Shannon Marie Bell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 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
I20211117000838 MI Practitioner - Obstetrics/Gynecology 6709008006 Reassigns benefits to 2 organizations
I20231025001311 TN Practitioner - Obstetrics/Gynecology 6709008006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68900TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Obstetrics & Gynecology CurrentSince Sep 12, 2023 Accepting new patients
Spectrum Health Primary Care Partners Obstetrics & Gynecology CurrentSince Dec 1, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 1, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Sep 12, 2023 Accepting new patients
Grand Rapids Womens Health PC Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

555 Midtowne St NE
Ste 400
Grand Rapids, MI 49503
Phone (616) 588-1200

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

2011 Murphy Ave
Ste 601
Nashville, TN 37203
Phone (615) 301-6610

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: shannon.madison@ahp.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1023428588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 MURPHY AVE STE 601",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032220",
            "telephone_number": "615-329-6622",
            "fax_number": "615-329-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.132602",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "68900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BELL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.