Individual provider Active NPI

Shannon Cothran, MD

  • Gynecology Physician
  • McLean, VA
National Provider Identifier
1477769677
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101243468 Issued in VA
Practice address
2010 Corporate RDG Ste 510
MC Lean, VA 22102-7838
Phone
(571) 297-4200
Fax
(571) 297-4551
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0101243468 VA Primary
Obstetrics & Gynecology Physician 207V00000X 0101243468 VA

Addresses

Primary practice location

2010 Corporate RDG Ste 510
MC Lean, VA 22102-7838

Mailing address

2010 Corporate RDG
MC Lean, VA 22102-7853
Phone (571) 297-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081203000488 DC Practitioner - Obstetrics/Gynecology 9638230105 Reassigns benefits to 2 organizations
I20250324003154 VA Practitioner - Obstetrics/Gynecology 9638230105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101243468VAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Feb 10, 2025 Accepting new patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology CurrentSince Oct 1, 2011 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology Current Accepting new patients
Inova Health Care Services CurrentSince May 15, 2024 Accepting new patients
Inova Health Care Services CurrentSince May 15, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
R J Bettini Obstetrics & Gynecology Past Accepting new patients

Locations

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

9004 Crownwood Ct
#R
Burke, VA 22015
Phone (703) 978-5440

10521 Rosehaven St
Ste LL100
Fairfax, VA 22030
Phone (703) 281-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1477769677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CORPORATE RDG",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221027853",
            "telephone_number": "571-297-4200",
            "fax_number": "571-297-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CORPORATE RDG STE 510",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221027838",
            "telephone_number": "571-297-4200",
            "fax_number": "571-297-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHRAN",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101243468",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101243468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.