Shannon Ann McBride, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007115 Issued in GA

Practice address

5860 Jimmy Carter Blvd Ste 110
Norcross, GA 30071-4657

Phone

(770) 263-2063

Fax

(770) 407-8546

NPI assigned

Nov 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Gwinnett Medical Back and Neck Pain, LLC

  • Physical Medicine & Rehabilitation Physician
  • Norcross, GA
  • NPI 1386810786
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1154658797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 JIMMY CARTER BLVD STE 110",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714657",
            "telephone_number": "770-263-2063",
            "fax_number": "770-407-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 JIMMY CARTER BLVD STE 110",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714657",
            "telephone_number": "770-263-2063",
            "fax_number": "770-407-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "SHANNON",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayfield Chiropractic Center, P.C.
• Randy Lane Mayfield, D.C.
• Regina Nicole Mayo
• Mbi Health Services, LLC
• Cristina Anne McAdam
• Thanh Tam Trong McBride
• Juwan Martez McCall, DC
• Andrew Lee McCanless Sr., D.M.D.
• Angel McCleave
• Jennifer McCullough, M.S.,CCC-SLP

• Chiropractor in Norcross, GA
• Providers in Norcross, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.