NPIMap

Individual provider Active NPI

Shannon Lawrence Pitman, M.D.

  • Family Medicine Physician
  • Blue Ridge, GA
National Provider Identifier
1982773891
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
060550 Issued in GA
Practice address
101 Riverstone Vis
Ste 211
Blue Ridge, GA 30513-6648
Phone
(706) 632-3670
Fax
(706) 632-5928
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 060550 GA Primary

Addresses

Primary practice location

101 Riverstone Vis
Ste 211
Blue Ridge, GA 30513-6648

Mailing address

101 Riverstone Vis
Ste 211
Blue Ridge, GA 30513-6648
Phone (706) 632-3670

Other identifiers 2

IdentifierTypeStateIssuer
705001609BMedicaidGA
705001609DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080512000679 GA Practitioner - Family Practice 2668373168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hidden Valley Medical Center IncGroup PAC ID 5799768248, 18 clinicians

Practice addresses (Care Compare)

101 Riverstone Vis
Suite 211
Blue Ridge, GA 30513-6665
Phone (706) 946-4248

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as individual
Quality
92.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Valley Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Hidden Valley Medical Center Inc Family Medicine CurrentSince Mar 1, 2017 Accepting new patients

Locations

2855 Old Highway 5
Ste 106
Blue Ridge, GA 30513
Phone (706) 632-2066

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

101 Riverstone Vis
Ste 205
Blue Ridge, GA 30513
Phone (706) 632-4400

101 Riverstone Vis
Ste 203
Blue Ridge, GA 30513
Phone (706) 258-4142

101 Riverstone Vis
Ste 211
Blue Ridge, GA 30513
Phone (706) 632-3670

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

1362 S Main St
Ellijay, GA 30540
Phone (706) 276-2417

Interoperability endpoints

  • Direct secure messaging: shannon.pitman.1@1563.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1982773891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "STE 211",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-3670",
            "fax_number": "706-632-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "STE 211",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-3670",
            "fax_number": "706-632-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "SHANNON",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705001609B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705001609D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.