Shannon Kauffman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2208 Issued in WV

Practice address

6368 Appalachian Highway
Davis, WV 26260

Phone

(304) 478-3339

NPI assigned

Nov 29, 2018

Last updated

Apr 28, 2025By the provider in NPPES

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 WV

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

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St George Medical Clinic IncGroup PAC ID 7911996244, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
• Davis Medical Center Hospital, Elkins, WV, CCN 510030
• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
• Cortland Acres Health and Rehabilitation Nursing home, Thomas, WV, CCN 515063

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannonharmankerr@sgmci.allscriptsdirect.net

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.

• St. George Medical Clinic Inc.

  • Federally Qualified Health Center (FQHC)
  • Parsons, WV
  • NPI 1497853600
  Medicare reassignment Care Compare group
• St George Medical Clinic Inc

  • Pharmacy
  • Davis, WV
  • NPI 1326796822
  NPD

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

• Cortland Acres SNF Operations LLC

  dba Cortland Acres Health & Rehabilitation

  • Skilled Nursing Facility
  • Thomas, WV
  • NPI 1396565453

  Nursing home

  Care Compare affiliation
• Davis Memorial Hospital

  dba Davis Medical Center

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation
• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation
• GRMC, Inc.

  • General Acute Care Hospital
  • Oakland, MD
  • NPI 1598417412
  Care Compare affiliation

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1396215646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6368 APPALACHIAN HIGHWAY",
            "city": "DAVIS",
            "state": "WV",
            "postal_code": "262601019",
            "telephone_number": "304-642-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6368 APPALACHIAN HIGHWAY",
            "city": "DAVIS",
            "state": "WV",
            "postal_code": "26260",
            "telephone_number": "304-478-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "SHANNON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hawa Hamidi
• Meredith Harris, M.A., B.C.B.A.
• Lindsay Jackson
• Kines Family Dentistry PLLC
• David Kines
• Don W Kines, DDS
• Mikaela Kiser, PA
• Kathryn J Knight

• Medical Physician Assistant in Davis, WV
• Providers in Davis, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.