Chaunta Wade Shannon, - Licensed Practical Nurse in Locust Grove, GA

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Chaunta Wade Shannon, is a Licensed Practical Nurse based in Locust Grove, Georgia. Chaunta Wade Shannon is licensed to practice in Mississippi (license number 325286) and her current practice location is 1090 Eagles Brooke Dr, Locust Grove, Georgia. She can be reached at her office (for appointments etc.) via phone at (419) 610-3721.

NPI number for Chaunta Wade Shannon is 1831940741 and her current mailing address is 1090 Eagles Brooke Dr, Locust Grove, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831940741.

Contact Information

Chaunta Wade Shannon,
1090 Eagles Brooke Dr,
Locust Grove, GA 30248-2475
(419) 610-3721
Not Available

Map and Direction




Provider's Profile

Full NameChaunta Wade Shannon
GenderFemale
SpecialityLicensed Practical Nurse
Location1090 Eagles Brooke Dr, Locust Grove, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831940741
  • Provider Enumeration Date: 03/28/2024
  • Last Update Date: 03/28/2024

Medical Identifiers

Medical identifiers for Chaunta Wade Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831940741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 325286 (Mississippi)Primary

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. Chaunta Wade Shannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chaunta Wade Shannon,
1090 Eagles Brooke Dr,
Locust Grove, GA 30248-2475

Ph: (419) 610-3721		Chaunta Wade Shannon,
1090 Eagles Brooke Dr,
Locust Grove, GA 30248-2475

Ph: (419) 610-3721

Reviews and Comments


Licensed Practical Nurse Nurses in Locust Grove, GA

Kennesha Laverne Alexander, LPN/NURSE
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1912 Denmark Ct, Locust Grove, GA 30248
Phone: 678-233-8717    
Denna Crutchfield,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 829 Redan Way, Locust Grove, GA 30248
Phone: 678-232-3246    
Jewel Blake-henry, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 520 Mullen Ct, Locust Grove, GA 30248
Phone: 404-210-4247    

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.