Active NPI
Matthew Shannon, CAA
- Anesthesiologist Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA824
- Practice address
- 4700 Waters Ave
Savannah, GA 31404-6220 - Phone
- (912) 350-8980
- NPI assigned
- Aug 26, 2020
- Last updated
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA824 | FL | Primary |
Addresses
Primary practice location
4700 Waters Ave
Savannah, GA 31404-6220
Mailing address
166 Wilmington Island Rd Unit a
Savannah, GA 31410-3862
Phone (678) 983-3170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10061 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| SE Georgia Anesthesia, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Anesthesia Consultants of Savannah, PC | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1679774343
-
dba Memorial Health Meadows Physicians- Anesthesia
- Anesthesiology Physician
- Vidalia, GA
- NPI 1518542919
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1619580800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 WILMINGTON ISLAND RD UNIT A",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103862",
"telephone_number": "678-983-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "MATTHEW",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-26",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.