Shannon Elizabeth Hendricks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7082 Lake Run Dr
Vestavia, AL 35242-7533

Phone

(615) 290-4865

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Group PAC ID 8820064140, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.77 of 100Reported as group

Quality

85.91

Promoting interoperability

96

Improvement activities

40

Cost

46.66

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Skin Solutions Dermatology & Skin Cancer Surgery, P.C.

  • Specialist
  • Franklin, TN
  • NPI 1215940366
  Medicare reassignment Care Compare group
• Stratum Health Collective PLLC

  • Integrative Medicine Physician
  • Brentwood, TN
  • NPI 1740121516
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1346967163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7082 LAKE RUN DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427533",
            "telephone_number": "615-290-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7082 LAKE RUN DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427533",
            "telephone_number": "615-290-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen T. Jones
• Elizabeth Helveston, LPC
• Alexandria Henderson, M.ED., LPC, NCC
• Christina Henderson
• Jake T Hendon, L.H.I.S.
• Henry R. Griffith PHD
• Brittany M Henry, DDS
• Jimmeka Rashay Henry
• Luke Herald
• Herbert P. Walker Jr., MD Family Practice

• Physician Assistant in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.