| Dr Shannon Donell Nelson, MD | |
|
939 Bob Arnold Blvd, Ste F, Lithia Springs, GA 30122-3258 | |
| (770) 739-2440 | |
| (770) 819-8808 |
| Full Name | Dr Shannon Donell Nelson |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 20 Years |
| Location | 939 Bob Arnold Blvd, Lithia Springs, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669696829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 062400 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Doctors Hospital | Augusta, GA | Hospital |
| Southern Regional Medical Center | Riverdale, GA | Hospital |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Internal Medicine Associates Of West Atlanta, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902183205 PECOS PAC ID: 7214102128 Enrollment ID: O20111205000423 |
| Entity Name | Southern Regional Physicians Management Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Donell Nelson, MD 939 Bob Arnold Blvd, Ste F, Lithia Springs, GA 30122-3258 Ph: (770) 739-2440 | Dr Shannon Donell Nelson, MD 939 Bob Arnold Blvd, Ste F, Lithia Springs, GA 30122-3258 Ph: (770) 739-2440 |
Pierre David Villain, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9192 Dover St, Lithia Springs, GA 30122 Phone: 404-408-2445 |