Individual provider Active NPI

Shawn Shayan Banon, MD

  • Anesthesiology Physician
  • Savannah, GA
National Provider Identifier
1922532589
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
92846 Issued in GA
Practice address
7414 Hodgson Memorial Dr Ste a
Savannah, GA 31406-2582
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Apr 20, 2017
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 92846 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7414 Hodgson Memorial Dr Ste a
Savannah, GA 31406-2582

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 1

135 Canal St Ste 500A
Pooler, GA 31322-4079
Phone (770) 962-3642

Other practice location 2

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220802002917 GA Practitioner - Pain Management 7618379835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Texas Southwestern Medical School at Dallas, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
75.54
Promoting interoperability
87
Improvement activities
40
Cost
55.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92846GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Aug 1, 2022 Accepting new patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Aug 1, 2022 Accepting new patients
Georgia Pain and Wellness Center Interventional Pain Medicine Past Accepting new patients

Locations (25 of 28)

1008 Druid Park Ave
Ste 101
Augusta, GA 30904

1255 Friendship Rd
Ste 150
Braselton, GA 30517

5670 Old Winder Hwy
Ste 103
Braselton, GA 30517

4700 Nelson Brogdon Blvd
Ste 125
Buford, GA 30518
Phone (470) 242-0725

100 Liberty Blvd
Ste 210
Canton, GA 30114

592 Ridgeway Rd
Commerce, GA 30529

215 Mercer Pl
Commerce, GA 30529
Phone (706) 335-7793

1501 Milstead Rd NE
Ste 190
Conyers, GA 30012
Phone (770) 760-9900

1200 Bald Ridge Marina Rd
Ste 150
Cumming, GA 30041
Phone (770) 886-0003

1504 N Thornton Ave
Ste 103
Dalton, GA 30720
Phone (706) 278-5275

484 Irvin Ct
Ste 110
Decatur, GA 30030
Phone (404) 292-4057

1485 Jesse Jewell Pkwy NE
Ste 310
Gainesville, GA 30501

49 Gordon Rd
Jasper, GA 30143
Phone (678) 878-2555

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

870 Crestmark Dr
Ste 201
Lithia Springs, GA 30122
Phone (770) 739-5242

7660 Covington Hwy
Lithonia, GA 30058
Phone (770) 482-2964

4800 Olde Towne Pkwy
Ste 110
Marietta, GA 30068
Phone (678) 297-9707

39C Oak Hill Ct
Ste 101
Newnan, GA 30265

39 Oak Hill Ct
Ste 101
Newnan, GA 30265

135 Canal St
Ste 500A
Pooler, GA 31322
Phone (912) 335-3876

146 Smitherman Rd
Ringgold, GA 30736
Phone (423) 667-3225

18 Riverbend Dr SW
Ste 118
Rome, GA 30161
Phone (706) 962-3642

1357 Hembree Rd
Ste 220
Roswell, GA 30076

7414 Hodgson Memorial Dr
Ste A
Savannah, GA 31406

1780 Oak Rd
Ste A2
Snellville, GA 30078
Phone (678) 344-0050

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

Hospital & facility affiliations 4

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1922532589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7414 HODGSON MEMORIAL DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062582",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Canal St Ste 500A",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224079",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Philip Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468768",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANON",
        "first_name": "SHAWN",
        "middle_name": "SHAYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "92846",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.