Individual provider Active NPI

Shannon Tucker Kahn, M.D.

  • Radiation Oncology Physician
  • Cartersville, GA
National Provider Identifier
1275710899
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
65576 Issued in GA
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

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
860908OtherGARESIDENT 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000393 GA Practitioner - Radiation Oncology 6608053459 Reassigns benefits to 4 organizations

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
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

100 Market Place Blvd
Suite 102
Cartersville, GA 30121-8715
Phone (470) 490-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
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

LicenseStateTypeSpecialty
65576GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jul 30, 2012 Accepting new patients
Piedmont Providers LLC CurrentSince Jan 1, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 30, 2012 Accepting new patients
Emory Medical Care Foundation Inc Radiation Oncology CurrentSince Jul 30, 2012 Accepting new patients
Georgia Protoncare Center, Inc. CurrentSince Mar 9, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.