Ms Shannan Kate Wood, CNM is a medicare enrolled "Advanced Practice Midwife" in Sandy Springs, Georgia. Her current practice location is
20 Glenlake Pkwy, Sandy Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 365-0966.
Ms Shannan Kate Wood is licensed to practice in Georgia (license number RN272395) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811452220.
Provider's Profile
| Full Name | Ms Shannan Kate Wood |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 20 Glenlake Pkwy, Sandy Springs, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811452220
- Provider Enumeration Date: 02/10/2019
- Last Update Date: 12/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769820521
- Enrollment ID: I20240329001981
Medical Identifiers
Medical identifiers for Ms Shannan Kate Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811452220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | RN272395 (Georgia) | Primary |
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. Ms Shannan Kate Wood allows following entities to bill medicare on her behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370 |
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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. Ms Shannan Kate Wood 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 Address | Practice Location Address |
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Ms Shannan Kate Wood, CNM
825 Barrington Oaks Rdg,
Roswell, GA 30075-6723
Ph: () - | Ms Shannan Kate Wood, CNM
20 Glenlake Pkwy,
Sandy Springs, GA 30328-3473
Ph: (404) 365-0966 |
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