DR. SHANNON NICOLE MYERS (NPI# 1184945339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184945339 |
| Entity Type | Individual |
| Full Name | DR. SHANNON NICOLE MYERS |
| Credential | M.D. |
| Practice Address |
3727 Executive Center Dr Augusta GA 30907-2398 |
| Practice Telephone | 7068425331 |
| Practice Fax Number | 7068425351 |
| Mailing Telephone | 7068425331 |
| Mailing Fax Number | 7068425351 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 070628 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00139195G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831732304 | Shannon Lee Myers | Marriage & Family Therapist | 6528 Hamilton Blvd, Allentown, PA 18106-9184 | 2019-10-28 |
| 1225273386 | Shannon Elizabeth Myers | Audiologist | 3432 Grim Ave, San Diego, CA 92104-4225 | 2008-12-03 |
| 1982622601 | Shannon Wade Myers | Chiropractor | 111 Broyles St, Suite 6, Johnson City, TN 37601-2532 | 2006-07-18 |
| 1942797097 | Shannon Myers | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0001 | 2018-04-15 |
| 1801396569 | Shannon Myers | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2018-02-19 |
| 1487169249 | Shannon Lee Myers | Nurse Practitioner | 724 Pershing St, Ellwood City, PA 16117-1474 | 2017-12-02 |
| 1528418803 | Shannon Dee Myers | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2016-06-16 |
| 1881958288 | Shannon J. Myers | Family Medicine | 878 Lakeland Dr, Jackson, MS 39216-4644 | 2012-06-29 |
| 1063785145 | Shannon Lyn Myers | Physical Therapy Assistant | 5830 Meridian Rd, Gibsonia, PA 15044-9668 | 2012-02-20 |
| 1548440209 | Shannon D Myers | Marriage & Family Therapist | 711 D St, Suite 201, San Rafael, CA 94901-3707 | 2007-11-10 |
| Street Address |
3727 EXECUTIVE CENTER DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346722 | Jessica Leigh Rey | Occupational Therapist | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2019-09-23 |
| 1942761424 | Emily Corish Miller | Nurse Practitioner | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2019-03-27 |
| 1730647025 | Brittany M Bing | Counselor | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2019-03-06 |
| 1861967903 | Kaitlyn Allen | Occupational Therapist | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2018-10-04 |
| 1194235028 | Able Pediatrics Health Services LLC | Marriage & Family Therapist | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2017-10-05 |
| 1669913208 | Able Pediatrics LLC | Pediatrics | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2017-03-15 |
| 1619386703 | Mira Nicole Stallings | Behavioral Analyst | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1487211199 | Ashley Elizabeth Miller | Pediatrics | 1146 Harper Street, Augusta, GA 30912-0001 | 2019-05-29 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1558824797 | John-david Constantine Bruce | Pediatrics | Dugas Building (bg-1071) 1120 15th Street, Augusta, GA 30912-0001 | 2019-04-12 |
| 1306229182 | Alexander James Eason | Pediatrics | Georgia Regents Medical Ctr, 1120 15th Street, Augusta, GA 30912-0001 | 2015-06-30 |
| 1801113386 | Gerard Rubin | Pediatrics | 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 | 2010-04-23 |
| 1013246487 | William Weston IIi | Pediatrics | 93 Bristlecone Ct., Augusta, GA 30909-1861 | 2009-12-15 |
| 1225285372 | Mustafa Musa Nimir | Pediatrics | 1120 15th St Ae-3042, Medical College of Georgia, Augusta, GA 30912-5000 | 2008-08-20 |
| 1003094848 | A. Reginald Pilcher, Md, PC | Pediatrics | 1115b Garredd Blvd, Augusta, GA 30909-6674 | 2008-02-04 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.