Shannon L Hill, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003099 Issued in GA

Practice address

1074 Ashbury Dr
Decatur, GA 30030-4165

Phone

(404) 593-7912

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon L McCarty Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Aylo Health, LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1013018811
  NPD (past)
• Aylo Health, LLC

  • Family Medicine Physician
  • Ellenwood, GA
  • NPI 1447290218
  NPD (past)
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)
• Aylo Health, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Stockbridge, GA
  • NPI 1922831445
  NPD (past)
• Diabetes and Endocrinology Associates East

  • Endocrinology, Diabetes & Metabolism Physician
  • Conyers, GA
  • NPI 1831758846
  NPD (past)
• Jafar Tabatabai M.D. P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Woodstock, GA
  • NPI 1255731741
  NPD (past)
• Paramount Health Group LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1326250317
  NPD (past)
• Vision Medical Consulting, P.C.

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1073562922
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1932467479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 ASHBURY DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 ASHBURY DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304165",
            "telephone_number": "404-593-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I970234",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MCCARTY",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Craig Hill
• Fiona F Hill, PSY.D.
• Jared Dennis Hill
• Jori Hill, DPT
• Kathy Hill Sr.
• Katharine Arnold Hilliard-Yntema, MD
• Rebecca Carbley Hilliard, FNP-C
• Rose Andrea Hills, LPN
• Marc E Hinckley, PAAA
• Maxine Hines

• Medical Physician Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.