Active NPI
Shannon Gonzalez, L.AC
- Acupuncturist
- Peachtree City, GA
National Provider Identifier
1437914892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 420
- Practice address
- 502 Commerce Dr
Peachtree City, GA 30269-3533 - Phone
- (239) 292-8914
- NPI assigned
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 420 | GA | Primary |
Addresses
Primary practice location
502 Commerce Dr
Peachtree City, GA 30269-3533
Mailing address
718 Argonne Ave NE Apt 1
Atlanta, GA 30308-2078
Phone (239) 292-8914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1437914892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 ARGONNE AVE NE APT 1",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082078",
"telephone_number": "239-292-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 COMMERCE DR",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693533",
"telephone_number": "239-292-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SHANNON",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.