Active NPI
Paige Shannon, PA-C
- Physician Assistant
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.004507
- Practice address
- 2323 W 5TH Ave
Suite 225
Columbus, OH 43204-4899 - Phone
- (614) 224-6420
- NPI assigned
- Oct 16, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004507 | OH | Primary |
Addresses
Primary practice location
2323 W 5TH Ave
Suite 225
Columbus, OH 43204-4899
Mailing address
1024 Folkestone Rd
Columbus, OH 43220-3706
Phone (317) 697-2561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1328 N Woodland Blvd
Deland, FL 32720-2203
Phone (386) 738-0574
410 E Altamonte Dr
Suite 1020
Altamonte Springs, FL 32701-4657
Phone (615) 373-7600
5102 Sr
Suite 46
Sanford, FL 32771-9336
Phone (407) 410-8670
5845 Winter Garden Vineland Rd
Windermere, FL 34786-6124
Phone (407) 230-1682
628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988
805 County Rd
Suite 466
Lady Lake, FL 32159-4205
Phone (352) 674-9218
8972 Turkey Lake Rd
Orlando, FL 32819-7377
Phone (407) 226-1906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.004507 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Physician Assistant | Current | Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Heathrow Internal Medicine LLC | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Winter Springs, FL
- NPI 1205389905
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1447771670
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Physician Assistant
-
- Urgent Care Clinic/Center
- Winter Park, FL
- NPI 1194122200
Physician Assistant
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Physician Assistant
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1033387865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1689045601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 FOLKESTONE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203706",
"telephone_number": "317-697-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 W 5TH AVE",
"address_2": "SUITE 225",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432044899",
"telephone_number": "614-224-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "PAIGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.