ANGELA P. SHANNON MD PC (NPI# 1871643890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871643890 |
| Entity Type | Organization |
| Organization Name | ANGELA P. SHANNON MD PC |
| Practice Address |
1129 Hospital Dr Suite 3c Stockbridge GA 30281-6393 |
| Practice Telephone | 7705070860 |
| Practice Fax Number | 7705070863 |
| Mailing Telephone | 7705070860 |
| Mailing Fax Number | 7705070863 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANGELA PATRICE SHANNON (OWNER) |
| Authorized Official Telephone | 7705070860 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
03661 | GA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036661 | GA | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036661 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1129 HOSPITAL DR SUITE 3C |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538581780 | Angela Denise Davis | Counselor | 1129 Hospital Dr, Suite 1a, Stockbridge, GA 30281-6393 | 2014-01-07 |
| 1841533940 | Lisset Pickens | Counselor | 1129 Hospital Dr, Suite 1a, Stockbridge, GA 30281-6393 | 2013-03-27 |
| 1982918801 | One World Medical, LLC | Psychiatry & Neurology | 1129 Hospital Dr, Suite 3c, Stockbridge, GA 30281-6393 | 2010-08-03 |
| 1992025019 | Richard P Delamar | Massage Therapist | 1129 Hospital Dr, Suite 7g, Stockbridge, GA 30281-6393 | 2010-06-11 |
| 1962612614 | Lynette V. Farr, Ph.d., Lmft, Inc. | Psychologist | 1129 Hospital Dr, Suite 7-g, Stockbridge, GA 30281-6393 | 2007-05-23 |
| 1083736839 | M. Christopher Griffith, Md | Psychiatry & Neurology | 1129 Hospital Dr, Ste 3c, Stockbridge, GA 30281-6393 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083736839 | M. Christopher Griffith, Md | Psychiatry & Neurology | 1129 Hospital Dr, Ste 3c, Stockbridge, GA 30281-6393 | 2007-04-04 |
| 1073644803 | Eric Martin Plakun | Psychiatry & Neurology | 25 Main Street, Stockbridge, MA 01262-0962 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668169 | Lufti I Yargic | Psychiatry & Neurology | Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 | 2019-06-19 |
| 1124334545 | Michael Clark Hilton | Psychiatry & Neurology | 3975 Roswell Rd, Atlanta, GA 30342-4119 | 2010-08-23 |
| 1760616858 | Bryon Mcquirt | Psychiatry & Neurology | 48 Main St Ste 2a, Senoia, GA 30276-1895 | 2009-05-05 |
| 1972713998 | Julie Rand Dorney | Psychiatry & Neurology | 3500 Piedmont Rd Ne Ste 775, Atlanta, GA 30305-1520 | 2007-05-22 |
| 1205952231 | Shaw Wendi Fortuchang | Psychiatry & Neurology | 110 N Park Dr, Fayetteville, GA 30214-1645 | 2007-03-21 |
| 1962572511 | Thomas H Sachy | Psychiatry & Neurology | 247 Lana Drive, Gray, GA 31032 | 2006-11-09 |
| 1285717942 | Deepti Jain Bhasin | Psychiatry & Neurology | 402 Osigian Blvd, Sutie 400, Warner Robins, GA 31088-8988 | 2006-10-23 |
| 1376631861 | Velda Jean Givens | Psychiatry & Neurology | 3537 Macon Rd, Suite 5, Columbus, GA 31907 | 2006-10-10 |
| 1285735852 | Ashley A. Thompson | Psychiatry & Neurology | 55 Carlton Street, Athens, GA 30602-1503 | 2006-09-26 |
| 1932207123 | William Frank Thorneloe | Psychiatry & Neurology | 4015 S Cobb Dr Se Ste 270, Smyrna, GA 30080-6375 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.