Pamela D Shannon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

046488 Issued in GA

Practice address

315 West 10TH Street
Ste 110 Affordable Health Care LLC
Rome, GA 30165

Phone

(706) 802-1322

Fax

(706) 802-0716

NPI assigned

Aug 22, 2006

Last updated

Dec 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Affordable Health Care, LLC

  • Clinic/Center
  • Rome, GA
  • NPI 1780697284
  NPD (past)
• CF Health Management

  dba Gainesville Pain Management

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gainesville, GA
  • NPI 1154579191
  NPD (past)
• The Pain Management Clinic of Woodstock

  • Specialist
  • Gainesville, GA
  • NPI 1134374259
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1073629028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WEST 10TH STREET",
            "address_2": "STE 110 AFFORDABLE HEALTH CARE LLC",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-802-1322",
            "fax_number": "706-802-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WEST 10TH STREET",
            "address_2": "STE 110 AFFORDABLE HEALTH CARE LLC",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-802-1322",
            "fax_number": "706-802-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "PAMELA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "046488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806715C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harsh Manishbhai Shah, M.B.B.S
• Ahmad Shahrukh, M.D.
• Stuart Paul Shaklee, COTA/L
• Shannon Pharmacy
• Haley Shannon, BCBA
• Beverly Sharp
• Jacob Randolph Shattuck, PTA
• Julie Allison Shaw, PA-C
• Shel Sharpe MD, Inc
• Jaluna Shelley

• Internal Medicine Physician in Rome, GA
• Providers in Rome, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.