Individual provider Active NPI

Shannon Portis, DNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1912603846
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
36163 Issued in TN
Practice address
330 23Rd Ave N Ste 250
Nashville, TN 37203-6514
Phone
(615) 342-6880
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered Nurse 163WX0002X 205061 TN
Women's Health Nurse Practitioner 363LW0102X 36163 TN Primary

Addresses

Primary practice location

330 23Rd Ave N Ste 250
Nashville, TN 37203-6514

Mailing address

330 23Rd Ave N Ste 250
Nashville, TN 37203-6514
Phone (615) 342-6880

Other practice location 1

751 Chesapeake Ln
Clarksville, TN 37040-5263
Phone (931) 538-1811

Other practice location 2

1520 Clifton Rd NE
Atlanta, GA 30322-4201
Phone (404) 727-7980

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250522002574 TN Practitioner - Nurse Practitioner 1254850290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Womens Group, LLCGroup PAC ID 4789938721, 16 clinicians

Practice addresses (Care Compare)

330 23Rd Ave N
Suite 250
Nashville, TN 37203-1534
Phone (615) 342-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
205061TNMDHigh-Risk Obstetric Registered Nurse
36163TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
QCWH PC CurrentSince May 1, 2024 Accepting new patients
Centennial Womens Group, LLC CurrentSince Jun 29, 2025 Accepting new patients
Southern Pain Institute PLLC PastSince May 1, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

751 Chesapeake Ln
Clarksville, TN 37040
Phone (931) 538-1811

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

330 23rd Ave N
Ste 250
Nashville, TN 37203
Phone (615) 327-7470

Interoperability endpoints

  • Direct secure messaging: shannon.portis@hca1.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1912603846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036514",
            "telephone_number": "615-342-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036514",
            "telephone_number": "615-342-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Chesapeake Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405263",
            "country_code": "US",
            "telephone_number": "931-538-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303224201",
            "country_code": "US",
            "telephone_number": "404-727-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTIS",
        "first_name": "SHANNON",
        "credential": "DNP, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "TN",
            "license": "205061",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "36163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.