SHANNON WILLIAMS (NPI# 1508405952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508405952 |
| Entity Type | Individual |
| Full Name | SHANNON WILLIAMS |
| Credential | LDO |
| Practice Address |
34 Birch Cir Port Wentworth GA 31407-3376 |
| Mailing Address |
7306 State Highway 21 # 268 Port Wentworth GA 31407-9274 |
| Practice Telephone | 9126501161 |
| Mailing Telephone | 9123736797 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
615 | SC | Eye and Vision Services Providers |
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
LDO002432 | GA | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
1233 | SC | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO002432 | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379738 | Shannon Denese Williams | Nurse Practitioner | 4659 Slagles Lake Rd, Emporia, VA 23847-8059 | 2019-01-03 |
| 1104317148 | Shannon Williams | Case Manager/Care Coordinator | 218 Kathleen Dr, Midwest City, OK 73110-7765 | 2018-05-25 |
| 1942712310 | Shannon Marie Williams | Nurse Practitioner | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2017-10-25 |
| 1285171553 | Shannon P Williams | Counselor | 1358 Buckingham Dr, Hampton, GA 30228-3281 | 2017-01-25 |
| 1023551785 | Shannon Williams | Nurse Practitioner | 7416 Calder Ave, Sebastopol, CA 95472-4356 | 2016-11-29 |
| 1508228008 | Shannon Williams | Registered Nurse | Jblm North Ft Bldg 13815, Tacoma, WA 98431-0001 | 2016-03-23 |
| 1598061921 | Shannon Nicole Williams | Nurse Practitioner | 3452 Stephen Earl, Vancleave, MS 39565-7609 | 2011-02-02 |
| 1790097012 | Shannon D Williams | Specialist | 690 Brookstown Ave, Winston Salem, NC 27101-3730 | 2010-07-02 |
| 1023256658 | Shannon Leigh Williams | Speech-Language Pathologist | 330 Marean Rd, Newark Valley, NY 13811-3537 | 2009-02-04 |
| 1275736431 | Shannon Lucas Williams | Counselor | 645 Bells Branch Rd, Newton Grove, NC 28366-7585 | 2007-06-06 |
| Street Address |
34 BIRCH CIR |
| City | PORT WENTWORTH |
| State | GA |
| Zip Code | 31407-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1861038044 | Mara Dawne Carson | Nurse Practitioner | 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 | 2019-11-21 |
| 1831620087 | Pharmdixon Consulting LLC | Pharmacy | 2155 Benton Blvd, 13203, Savannah, GA 31407-0491 | 2017-03-21 |
| 1033610415 | Derrick Jackson Thomas | Specialist/Technologist | 1 Bonnybridge Rd, Savannah, GA 31407-1312 | 2018-02-22 |
| 1043209240 | Westview Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2005-10-19 |
| 1922575679 | Pruitthealth - Seaside, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2018-10-31 |
| 1477060705 | Benjamin Lane Richey | Behavior Technician | 204 Turnberry St, Port Wentworth, GA 31407-1925 | 2018-01-09 |
| 1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
| 1699120410 | Dr Kenneith Durden Outreach | Counselor | 41 Moonlight Trl, Port Wentworth, GA 31407-3321 | 2016-04-29 |
| Find all providers in zip 31407 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667302 | Carole F Medou | Technician/Technologist | 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA 30046-5396 | 2020-07-28 |
| 1255966206 | Steven W Burton | Technician/Technologist | 2498 Wingfield Dr, Austell, GA 30106-1762 | 2020-03-10 |
| 1477185205 | Dale A Klauss | Technician/Technologist | 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 | 2020-02-10 |
| 1104380682 | National Vision Inc | Technician/Technologist | 97 Parkway Dr, Fort Oglethorpe, GA 30742-4249 | 2019-01-29 |
| 1134683600 | National Vision Inc | Technician/Technologist | 3159 Highway 278 Ne, Covington, GA 30014-2301 | 2019-01-29 |
| 1255818993 | Kerryn Castellon | Technician/Technologist | 55 Sudderth St, Buford, GA 30518-3335 | 2018-07-25 |
| 1770075731 | National Vision, Inc. | Technician/Technologist | 916 Loganville Hwy Ste 300, Bethlehem, GA 30620-2145 | 2018-06-05 |
| 1598262487 | National Vision, Inc. | Technician/Technologist | 534 Marketplace Pkwy Ste 740, Dawsonville, GA 30534-7549 | 2018-04-09 |
| 1720582992 | Amos D Washington | Technician/Technologist | 10269 Industrial Blvd Ne, Covington, GA 30014-1485 | 2018-03-21 |
| 1619490489 | Lisa Stonebraker | Technician/Technologist | 105 E Main St Ste 116, Woodstock, GA 30188-5013 | 2017-07-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT WENTWORTH |
| Zip Code | 31407 |
Please comment or provide details below to improve the information on SHANNON WILLIAMS.
| 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.