Ardis Christopher Shannon

Primary specialty

DriverTaxonomy code 172A00000X

License

243944436 Issued in MS

Practice address

4522 Marlin Ave
Suffolk, VA 23435-2377

Phone

(757) 641-1876

NPI assigned

Jan 24, 2024

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acs Medical Transport, LLC

  dba ACS Management Consulting, LLC

  • Non-emergency Medical Transport (VAN)
  • Suffolk, VA
  • NPI 1730945684

  Secured Medical Transport (Van)

  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1508628777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 MARLIN AVENUE, SUFFOLK, VA, USA",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352377",
            "telephone_number": "757-641-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 MARLIN AVE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352377",
            "telephone_number": "757-641-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ARDIS",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "MS",
            "license": "243944436",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "243944436",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MS",
            "license": "243944436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Seutter, M.D.
• McKayla R Seymour, DPM
• T'la Shabazz, LCSW
• Muhammad Shahid, MD
• Shariq Shamim, M.D.
• Terrance Lashay Sharpe
• John F Shaughnessy, MD
• Deloris Lajoy Shaw, LPC
• Shearin Chiropractic LLC
• Elizabeth Tolly Shearin, DC

• Driver in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.