Active NPI
Shannon Tucker Kahn, M.D.
- Radiation Oncology Physician
- Cartersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 65576
- Practice address
- 100 Market Place Blvd Ste 102
Cartersville, GA 30121-8715 - Phone
- (470) 490-2925
- NPI assigned
- Jan 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 65576 | GA | Primary |
Addresses
Primary practice location
100 Market Place Blvd Ste 102
Cartersville, GA 30121-8715
Mailing address
100 Market Place Blvd Ste 102
Cartersville, GA 30121-8715
Other practice location 1
639 Kimberly Ln NE
Atlanta, GA 30306-2224
Phone (404) 641-8665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860908 | Other | GA | RESIDENT ID NUMBER |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Emory University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Market Place Blvd
Suite 102
Cartersville, GA 30121-8715
Phone (470) 490-2900
Hospital & facility affiliations
- Piedmont Cartersville Medical Center
- Wellstar Cobb Medical Center
- Saint Joseph's Hospital of Atlanta, Inc
- Piedmont Hospital, Inc
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65576 | GA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Radiation Oncology | Current | Accepting new patients |
| Georgia Protoncare Center, Inc. | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients | |
| Peachtree Radiation Oncology Services PC | Radiation Oncology | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
145 Edgewood Ave SE
Atlanta, GA 30303
Phone (404) 616-3947
615 Peachtree St NE
Atlanta, GA 30308
Phone (410) 706-4919
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1365 Clifton Rd NE
Bldg ASTE200
Atlanta, GA 30322
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
100 Market Place Blvd
Ste 102
Cartersville, GA 30121
Phone (470) 490-2900
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144
1255 Highway 54 W
Bldg 1267
Fayetteville, GA 30214
Phone (770) 719-5850
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
200 Bill Hasty Blvd
Jasper, GA 30143
Phone (706) 299-2070
6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880
5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001
Interoperability endpoints
- skahn43445@direct.emory.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
dba Emory Proton Therapy Center
- Clinic/Center
- Atlanta, GA
- NPI 1083107999
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Radiation Oncology Physician
- Atlanta, GA
- NPI 1902062417
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Radiation Oncology Physician
- Atlanta, GA
- NPI 1750496527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cartersville Medical Center
- General Acute Care Hospital
- Cartersville, GA
- NPI 1780638833
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1275710899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MARKET PLACE BLVD STE 102",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301218715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARKET PLACE BLVD STE 102",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301218715",
"telephone_number": "470-490-2925"
}
],
"practiceLocations": [
{
"address_1": "639 Kimberly Ln NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303062224",
"country_code": "US",
"telephone_number": "404-641-8665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAHN",
"first_name": "SHANNON",
"middle_name": "TUCKER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "65576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT ID NUMBER",
"identifier": "860908",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.