Shannon Teresa Willis, MD - Medicare Internal Medicine in Lawrenceville, GA

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Shannon Teresa Willis, MD is a medicare enrolled "Hospitalist" physician in Lawrenceville, Georgia. She went to Meharry Medical College School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice The Southeast Permanente Medical Group, Kings Daughters Medical Specialties Inc and her current practice location is 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 593-1389.

Shannon Teresa Willis is licensed to practice in Georgia (license number 075178) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487971263.

Contact Information

Shannon Teresa Willis, MD
1000 Medical Center Blvd, Ground Floor Gme Office,
Lawrenceville, GA 30046-7694
(706) 593-1389
Not Available

Map and Direction




Physician's Profile

Full NameShannon Teresa Willis
GenderFemale
SpecialityInternal Medicine
Experience15 Years
Location1000 Medical Center Blvd, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Teresa Willis attended and graduated from Meharry Medical College School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1487971263
  • Provider Enumeration Date: 05/03/2010
  • Last Update Date: 06/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6709027436
  • Enrollment ID: I20160204002026

Medical Identifiers

Medical identifiers for Shannon Teresa Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487971263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 075178 (Georgia)Secondary
207R00000XInternal Medicine MD29422 (Maine)Secondary
208M00000XHospitalist MD29422 (Maine)Secondary
208M00000XHospitalist 075178 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters' Medical CenterAshland, KYHospital
Maine Medical CenterPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013658
Kings Daughters Medical Specialties Inc6103968029355

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Teresa Willis allows following entities to bill medicare on her behalf.
Entity NameGwinnett Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952340994
PECOS PAC ID: 8123916426
Enrollment ID: O20040309000009
Entity NamePiedmont Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548219660
PECOS PAC ID: 1951299163
Enrollment ID: O20040309000820
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NameCogent Healthcare Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20040527000856
Entity NameNorth Atlanta Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316959869
PECOS PAC ID: 0840291944
Enrollment ID: O20070116000197
Entity NameGwinnett Physician Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578574661
PECOS PAC ID: 9133211139
Enrollment ID: O20070822001035
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Teresa Willis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Teresa Willis, MD
1000 Medical Center Blvd, Ground Floor Gme Office,
Lawrenceville, GA 30046-7694

Ph: (706) 593-1389		Shannon Teresa Willis, MD
1000 Medical Center Blvd, Ground Floor Gme Office,
Lawrenceville, GA 30046-7694

Ph: (706) 593-1389

Reviews and Comments


Hospitalist Doctors in Lawrenceville, GA

Vasundhara Cheekati, M.D.
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Phone: 404-778-3914    Fax: 404-778-5495
Anteneh Birru, M.D.
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Imran Dosani, MD
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Dr. Michael Warren Gower, MD
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Phone: 678-312-1000    Fax: 678-312-3282
Amber Y Kuk, M.D.
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Phone: 678-312-3294    Fax: 678-312-3282
Deepu Daniel, D.O.
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Practice Location: 575 Professional Dr Ste 290, Lawrenceville, GA 30046
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Dr. Paul Skokanic, MD
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Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-3273    Fax: 678-312-3282

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.