Active NPI
Shawnna Lee Patterson, M.D., PH.D.
- Neurology Physician
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME98712
- Practice address
- 211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749 - Phone
- (321) 345-6331
- Fax
- (213) 453-2953
- NPI assigned
- Apr 7, 2006
- Last updated
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2009-01845 | NC | |
| Neurology Physician | 2084N0400X | ME98712 | FL | Primary |
Addresses
Primary practice location
211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749
Mailing address
211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749
Phone (321) 345-6331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278017800 | Medicaid | FL | |
| 5913017 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Coral Sands Dr
Suite B
Rockledge, FL 32955-2748
211 Coral Sands Dr
Suite B
Rockledge, FL 32955-2749
Phone (321) 345-6331
Hospital & facility affiliations
- Advanced Nursing Concepts LLC
- Parrish Home Health
- Cape Canaveral Hospital
- Parrish Medical Center
- Viera Hospital
- Holmes Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.68 of 100
- Quality
- 62.02
- Improvement activities
- 40
- Cost
- 76.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98712 | FL | MD | Neurology Physician |
| 2009-01845 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Knight Neurology LLC | Current | Accepting new patients | |
| Brain and Spine LLC | Neurology | Past | Accepting new patients |
Locations
1978 US Highway 1
Ste 103
Rockledge, FL 32955
Phone (321) 508-0999
211 Coral Sands Dr
Ste B
Rockledge, FL 32955
Phone (321) 345-6331
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
2280 Hemby Ln
Greenville, NC 27834
Phone (252) 744-9400
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000070
- spatterson71816@epicdirect.hf.org
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Rockledge, FL
- NPI 1629415724
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba Brain and Spine Specialists
- Neurology Physician
- Panama City, FL
- NPI 1942317896
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Orlando, FL
- NPI 1942601737
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1205899820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 CORAL SANDS DR STE B",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552749",
"telephone_number": "321-345-6331",
"fax_number": "321-345-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CORAL SANDS DR STE B",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552749",
"telephone_number": "321-345-6331",
"fax_number": "213-453-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "SHAWNNA",
"middle_name": "LEE",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2009-01845",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME98712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278017800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913017",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.