| Mrs Alvina C Shannon, PA-C | |
|
4475 W Village Pkwy, Ellenwood, GA 30294-2869 | |
| (770) 507-7950 | |
| Not Available |
| Full Name | Mrs Alvina C Shannon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 4475 W Village Pkwy, Ellenwood, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720244957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002735 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Current Care Pa | 9739260019 | 545 |
| Entity Name | American Current Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710168117 PECOS PAC ID: 9739260019 Enrollment ID: O20080220000473 |
| Entity Name | South Atlanta Urgent Care Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144548363 PECOS PAC ID: 4880888247 Enrollment ID: O20101029000260 |
| Entity Name | Swift Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811434210 PECOS PAC ID: 5698011211 Enrollment ID: O20190117003052 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alvina C Shannon, PA-C 4228 Park Place Cir, Ellenwood, GA 30294-1550 Ph: (404) 403-9793 | Mrs Alvina C Shannon, PA-C 4475 W Village Pkwy, Ellenwood, GA 30294-2869 Ph: (770) 507-7950 |
Mrs. Natisha Latrise Roberson-dunn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 195 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-0112 |
Ja Na Monique Holyfield, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750 |
Ms. Michelle M Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4475 W Village Pkwy, Ellenwood, GA 30294 Phone: 770-507-7950 Fax: 716-710-8082 |
Mr. Richard G Slipkovich, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 770-507-4554 Fax: 770-507-6413 |
Alvin Cephas, CST/CFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 434 Midway Pt, Ellenwood, GA 30294 Phone: 770-985-4257 Fax: 770-985-4258 |