Individual provider Active NPI

Shawn E Gunder, PA-C

  • Surgical Physician Assistant
  • Augusta, GA
National Provider Identifier
1134356876
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
002919 Issued in GA
Practice address
811 13TH St Ste 20
Augusta, GA 30901-2771
Phone
(706) 722-3401
Fax
(706) 724-6540
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 002919 GA Primary

Addresses

Primary practice location

811 13TH St Ste 20
Augusta, GA 30901-2771

Mailing address

811 13TH St Ste 20
Augusta, GA 30901-2771
Phone (706) 722-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000301 GA Practitioner - Physician Assistant 1850445818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2511 Associates Way
Evans, GA 30809-3106
Phone (706) 722-3401

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

811 13TH St
Suite 20
Augusta, GA 30901-2771
Phone (706) 722-3401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002919GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Augusta P a CurrentSince Jul 7, 2014 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Nov 16, 2023 Accepting new patients
Neurological Asssociate of Augusta, PC PastSince Sep 1, 2002 Accepting new patients

Locations

1290 Interstate Pkwy
Augusta, GA 30909
Phone (706) 860-5383

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

2511 Associates Way
Evans, GA 30809
Phone (706) 722-3401

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23795/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shawn.gunder.1@23890.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1134356876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012771",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012771",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDER",
        "first_name": "SHAWN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.