Shannon O'Carroll, APC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC009591 Issued in GA

Practice address

201 Forrest Ave Ste 201-B
Gainesville, GA 30501-3222

Phone

(678) 982-5516

NPI assigned

Aug 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1992535066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 RUDOLPH ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012952",
            "telephone_number": "678-982-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FORREST AVE STE 201-B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013222",
            "telephone_number": "678-982-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CARROLL",
        "first_name": "SHANNON",
        "credential": "APC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC009591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nunova Health LLC
• Gillian C.J. Nurhonen, OTRL
• Ndidiamaka Onyeanwuli Nwaka, M.D
• Deborah N Nwosu
• Megan O'Brien, LCSW
• Caroline Patton O'Hearn, DMD
• Ashley Drew O'Neal, CRNA
• Shannon Michele O'Reilly, DO
• Adeniyi M. Obalanlege, MD
• Robert Oberman, DO

• Professional Counselor in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.