Shannon Leigh Whitwell (NPI# 1437619277, PAC ID# 2860722329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437619277 |
| PAC ID by PECOS | 2860722329 |
| Professional Enrollment ID | I20190925003164 |
| Full Name | Shannon Leigh Whitwell |
| Organization Legal Name | UNIVERSITY MEDICAL GROUP LLC |
| Address |
1100 W Lake Commons Dr Martinez GA 30907-7932 |
| Phone Number | 7062282565 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567640915 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 W Lake Commons Dr, Martinez, GA 30907-7932 | 7062282565 | UNIVERSITY MEDICAL GROUP LLC |
| 1100 W Lake Commons Dr, Martinez, GA 30907-7932 | 7062506919 | UMG PROMPT CARE LLC |
| Organization Legal Name | UNIVERSITY MEDICAL GROUP LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Wannamaker | Internal Medicine | University Medical Group LLC | 4446 Washington Eroad, Suite 7, Evans, GA 30809 |
| Lindsey Meagher | Nurse Practitioner | University Medical Group LLC | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3531 |
| Eman L Kaldas | Internal Medicine | University Medical Group LLC | 3486 Peach Orchard Rd, Suite 100, Augusta, GA 30906-5215 |
| Jennifer Herbert | Family Medicine | University Medical Group LLC | 3851 Evans Locks Rd, Se 113, Martinez, GA 30907-4914 |
| Alison Powell | Nurse Practitioner | University Medical Group LLC | 309 W Ave, Umg Family Practice, North Augusta, SC 29841-3800 |
| Vanessa Bradish | Nurse Practitioner | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Daniel H Boone | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Christopher S Mcelroy | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Hannah Timmerman Cofer | Nurse Practitioner | University Medical Group LLC | 3486 Peach Orchard Rd, Suite 100, Augusta, GA 30906-5215 |
| Robert Winfred West | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Street Address |
1100 W LAKE COMMONS DR |
| City | MARTINEZ |
| State | GA |
| Zip | 30907-7932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basil Coombs | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Pkwy, Suite 310, Martinez, GA 30907 | |
| Sue L. Howell-fafchamps | Clinical Social Worker | 3711 Executive Ctr Dr, Suite 202 Office 1, Martinez, GA 30907 | |
| Patricia F Hanks | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| William Walker | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Cindy Ann Foster | Clinical Social Worker | 4210 Columbia Rd, Suite 4a, Martinez, GA 30907-0403 | |
| Deborah Corley | Physical Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Veronica A Maguire | Occupational Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Kim Lombardy | Chiropractic | 211 Pleasant Home Rd, Suite F2, Augusta, GA 30907-0558 | |
| Ernie E Lin | Psychiatry | 211 Pleasant Home Rd, F3, Augusta, GA 30907-0559 | |
| Find all physicians in zip 30907 | |||
| City | MARTINEZ |
| Zip Code | 30907 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARTINEZ + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.