Shannon Ashley Inci, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

8305 Issued in GA

Practice address

120 Greystone Power Blvd Ste 100
Dallas, GA 30157-8297

Phone

(678) 945-8345

Fax

(770) 956-1180

NPI assigned

Apr 15, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Univ of Central Florida, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Collins Womens Clinic PCGroup PAC ID 3971492711, 33 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.incimd.p1@direct.thewomensclinic.nextgenshare.com

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.

• Fort Collins Women'S Clinic, PC

  • Obstetrics & Gynecology Physician
  • Fort Collins, CO
  • NPI 1275591281

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Fort Collins Women'S Clinic, P.C.

  • Maternal & Fetal Medicine Physician
  • Fort Collins, CO
  • NPI 1770836892

  Single Specialty

  NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1255785366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GREYSTONE POWER BLVD STE 100",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301578297",
            "telephone_number": "678-945-8345",
            "fax_number": "470-956-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GREYSTONE POWER BLVD STE 100",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301578297",
            "telephone_number": "678-945-8345",
            "fax_number": "770-956-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCI",
        "first_name": "SHANNON",
        "middle_name": "ASHLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "8305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smoore126623@directwellstar.org",
            "affiliation": "N",
            "address_1": "51 Hiram Dr Bldg B",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301411844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quanita Huntley
• Kimberly Hunton, PHARMD, MBA, MSHA
• Christina Hyndman
• Juliet Ihedike, LCSW
• In Your Home Personal Care Services LLC
• Independence Path Solutions LLC
• Independent Physical Therapy of Ga, LLC
• Independent Physical Therapy of Ga, LLC
• Kara Ingram
• Tyrese Malik Ingram

• Obstetrics & Gynecology Physician in Dallas, GA
• Providers in Dallas, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.