Individual provider Active NPI

Sean McGill, M.D.

  • Psychiatry Physician
  • San Angelo, TX
National Provider Identifier
1568849669
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R1417 Issued in TX
Practice address
1636 Hunters Glen Rd
San Angelo, TX 76901-5016
Phone
(325) 949-5722
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BP10053424 TX
Psychiatry Physician 2084P0800X R1417 TX Primary

Addresses

Primary practice location

1636 Hunters Glen Rd
San Angelo, TX 76901-5016

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (325) 949-5722

Other practice location 1

301 University Blvd
Galveston, TX 77555-0193
Phone (409) 772-0770

Other identifiers 1

IdentifierTypeStateIssuer
1C1361OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200429001056 TX Practitioner - PsychiatryPractitioner - Neuropsychiatry 1153751425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.35 of 100Reported as group
Quality
50.62
Promoting interoperability
95
Improvement activities
20
Cost
73.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10053424TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic CurrentSince Jun 1, 2024 Accepting new patients
McAllen Hospitalist Group, PLLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Utmb Faculty Group Practice Psychiatry CurrentSince Apr 10, 2020 Accepting new patients
Bend Health Psychiatric Services South Central PA Past Accepting new patients
Big Spring Texas Hospital Company LLC Past Accepting new patients
Shannon Medical Center Past Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1636 Hunters Glen Rd
San Angelo, TX 76901
Phone (325) 949-5722

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

Interoperability endpoints

  • Direct secure messaging: smcgill69180@shannonhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1568849669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "325-949-5722",
            "fax_number": "325-949-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HUNTERS GLEN RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015016",
            "telephone_number": "325-949-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550193",
            "country_code": "US",
            "telephone_number": "409-772-0770",
            "fax_number": "409-747-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "SEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "BP10053424",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R1417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1C1361",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.