Active NPI
Shannon Pennington
- Addiction Medicine (Anesthesiology) Physician
- Springfield, TN
National Provider Identifier
1144028937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- LSW0000005957
- Practice address
- 400 Fairway TRL
Springfield, TN 37172-4012 - Phone
- (615) 310-7272
- NPI assigned
- Mar 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | LSW0000005957 | TN | Primary |
Addresses
Primary practice location
400 Fairway TRL
Springfield, TN 37172-4012
Mailing address
400 Fairway TRL
Springfield, TN 37172-4012
Phone (615) 310-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000005957 | TN | MD | Addiction Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1144028937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FAIRWAY TRL",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371724012",
"telephone_number": "615-310-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAIRWAY TRL",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371724012",
"telephone_number": "615-310-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Addiction Medicine",
"state": "TN",
"license": "LSW0000005957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.