Shannon Rose Woods, N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

A810578 Issued in MS

Practice address

401 Southcrest Cir
Suite 212
Southaven, MS 38671-6726

Phone

(662) 349-0488

Fax

(661) 349-5974

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Rose Lopez Former name

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McCulley Allergy, Sinus and AsthmaGroup PAC ID 2668753922, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.71 of 100Reported as group

Quality

71.4

Promoting interoperability

100

Improvement activities

40

Cost

72.14

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slopez28199@direct.bmhcc.org
• Direct secure messaging: shannon.woods.1@14678.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14678/brand/1/csg/1/fhir/r4

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.

• McCulley Allergy Sinus & Asthma

  • Allergy & Immunology Physician
  • Germantown, TN
  • NPI 1386194843

  MS

  Medicare reassignment Care Compare group NPD
• Memphis Lung Physicians Foundation, Inc.

  • Pulmonary Disease Physician
  • Germantown, TN
  • NPI 1811279656

  Gerontology, MS

  Medicare reassignment NPD
• Allergy & Asthma Care, PLC

  • Allergy & Immunology Physician
  • Germantown, TN
  • NPI 1467483974
  NPD (past)
• Memphis Lung Physicians, P.C.

  • Pulmonary Disease Physician
  • Memphis, TN
  • NPI 1053340166
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1487072864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 JOFFRE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR",
            "address_2": "SUITE 212",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716726",
            "telephone_number": "662-349-0488",
            "fax_number": "661-349-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SHANNON",
        "middle_name": "ROSE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "18577",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "A810578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "LOPEZ",
            "middle_name": "ROSE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Istvan David Wollak, M.D.
• Anthony Jerome Wood, NCC, LPC-S
• Austin P Wood
• Joann Wood, MD
• Destinee Woods, PMHNP-BC
• Sebastian Steven Woodson, DO
• Brittany Wright Farrell, MA
• Kelsey Wright
• Patricia Michele Wright, PHD
• Terri Lynn Wright, RN

• Gerontology Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Gerontology Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.