Active NPI
Shannon Nicole Mitchell, NP
- Primary Care Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN271894
- Practice address
- 654 1St St Ste 330
Macon, GA 31201-2851 - Phone
- (478) 738-9443
- NPI assigned
- Apr 20, 2022
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN271894 | GA | Primary |
Addresses
Primary practice location
654 1St St Ste 330
Macon, GA 31201-2851
Mailing address
180 RL Wheeler Rd
Macon, GA 31211-6700
Phone (804) 712-3853
Other practice location 1
100 Tommy Stalnaker Dr Ste 100A
Warner Robins, GA 31088-1402
Phone (855) 228-4597
Other practice location 2
5400 Riverside Dr Ste 202
Macon, GA 31210-0818
Phone (478) 787-0059
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
654 1St St
Macon, GA 31201-2851
Phone (478) 738-9443
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Coliseum Medical Centers, LLC, Dba
- Piedmont Macon North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN271894 | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Heart Physicians LLC | Current | Accepting new patients | |
| Ga Diagnostic Providers LLC | Current | Accepting new patients | |
| Avilys-Sleep & Eeg | Current | Accepting new patients | |
| Macon Electrophysiology Associates | Past | Accepting new patients |
Locations
105 Avera Dr
Fort Valley, GA 31030
Phone (478) 633-1458
5400 Riverside Dr
Ste 202
Macon, GA 31210
Phone (478) 787-0059
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
5400 Riverside Dr
Ste 101
Macon, GA 31210
654 1st St
Ste 330
Macon, GA 31201
Phone (478) 738-9443
654 1st St
Macon, GA 31201
Phone (478) 738-9443
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
800 1st St
Ste 330
Macon, GA 31201
Phone (912) 738-9443
2300 Northside Xing
#B
Macon, GA 31210
Phone (855) 228-4597
540 W Thomas St
Ste E
Milledgeville, GA 31061
Phone (478) 738-9443
100 Tommy Stalnaker Dr
Ste 100A
Warner Robins, GA 31088
Phone (478) 787-0059
1710 Watson Blvd
Warner Robins, GA 31093
Phone (478) 394-6061
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHAAAA
- smitchell3008524@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Macon, GA
- NPI 1407994437
-
- Sleep Disorder Diagnostic Clinic/Center
- Macon, GA
- NPI 1861965865
-
- Sleep Disorder Diagnostic Clinic/Center
- Macon, GA
- NPI 1538768296
-
- Clinical Cardiac Electrophysiology Physician
- Macon, GA
- NPI 1306923495
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1942943667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 RL WHEELER RD",
"city": "MACON",
"state": "GA",
"postal_code": "312116700",
"telephone_number": "804-712-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 1ST ST STE 330",
"city": "MACON",
"state": "GA",
"postal_code": "312012851",
"telephone_number": "478-738-9443"
}
],
"practiceLocations": [
{
"address_1": "100 Tommy Stalnaker Dr Ste 100A",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310881402",
"country_code": "US",
"telephone_number": "855-228-4597",
"fax_number": "855-428-4597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5400 Riverside Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312100818",
"country_code": "US",
"telephone_number": "478-787-0059",
"fax_number": "855-428-4597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "SHANNON",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN271894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.