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SHANNON CLINIC
NPI 1093051401
Clinic/Center - Rural Health in Sweetwater, TX

Active since December 13, 2012CLIA Certified · 4 labs
201 E ARIZONA AVE, SWEETWATER, TX 79556(325) 235-8641(325) 235-5925 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON CLINIC (NPI 1093051401) is a healthcare organization registered as a rural health in Sweetwater, Texas and active in the NPI registry since December 2012. The organization holds 4 active CLIA laboratory certificates and lists Gary Gibian, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093051401
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHANNON CLINIC
Location Address201 E ARIZONA AVESweetwater, TX 79556-7119
Mailing AddressPo Box 3348San Angelo, TX 76902-3348 · (325) 658-1511 · Fax (325) 659-0180
Phone(325) 235-8641
Fax(325) 235-5925
Organization SubpartNo
Authorized OfficialGary GibianExecutive Director · (325) 658-1511
Enumeration DateDecember 13, 2012
✔ NPI 1093051401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
201 E ARIZONA AVE, Sweetwater, TX 79556
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2072648

Shannon Clinic - Urgent Care South · San Angelo, TX
Active · expires Feb 3, 2028
CLIA Number45D2072648
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorRoss Carmichael
Laboratory Phone(325) 658-1511
Laboratory LocationShannon Clinic - Urgent Care South3502 Knickerbocker Rd, San Angelo, TX 76904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 45D1050239

Shannon Clinic Baptist Memorial Campus · San Angelo, TX
Active · expires Jan 29, 2028
CLIA Number45D1050239
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorJ Chris Barnett
Laboratory Phone(325) 658-1511
Laboratory LocationShannon Clinic Baptist Memorial Campus903 North Main, San Angelo, TX 76903
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2094034

Shannon Clinic - Urgent Care West · San Angelo, TX
Active · expires Apr 7, 2027
CLIA Number45D2094034
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorDr. Mark Edwards
Laboratory Phone(325) 658-1511
Laboratory LocationShannon Clinic - Urgent Care West4251 Sunset Dr, San Angelo, TX 76904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0697089

Shannon Clinic · San Angelo, TX
Active · expires Aug 31, 2026
CLIA Number45D0697089
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorViki A. Forlano
Laboratory Phone(325) 658-1511
Laboratory LocationShannon Clinic4235 SW Blvd, San Angelo, TX 76904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALESHA BOLTON FNP
Nurse Practitioner
201 E ARIZONA AVE
SWEETWATER, TX 79556
Nolan County (325) 235-8641
DR. JORDANNA FRANKLIN M.D.
Pediatrics
201 E ARIZONA AVE, ROLLING PLAINS MEMORIAL RURAL HEALTH CLINIC
SWEETWATER, TX 79556
Nolan County (325) 235-8641
EMILY WOLFORD
Counselor (Professional)
201 E ARIZONA AVE
SWEETWATER, TX 79556
Nolan County (325) 235-8641
LUTHER CHATMAN MARTIN D.O.
Family Medicine
201 E ARIZONA AVE
SWEETWATER, TX 79556
Nolan County (325) 235-8641
ROLLING PLAINS MEMORIAL HOSPITAL
General Practice
201 E ARIZONA AVE
SWEETWATER, TX 79556
Nolan County (325) 235-1701
ANASTIACIA NICOLE SOTO FNP-C
Nurse Practitioner (Family)
201 E ARIZONA AVE
SWEETWATER, TX 79556
Nolan County (325) 235-8641
GEORGE CROCKETT LINDSEY D.O.
Family Medicine
201 E ARIZONA AVE
SWEETWATER, TX 79556
Nolan County (325) 235-8641
ROLLING PLAINS MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
201 E ARIZONA AVE
SWEETWATER, TX 79556
Nolan County (325) 235-8641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Clinic's NPI number?

The NPI number for Shannon Clinic is 1093051401. It was assigned to this organization in the NPPES registry on December 13, 2012.

Where is Shannon Clinic located?

Shannon Clinic is located at 201 E Arizona Ave, Sweetwater, TX 79556. The listed phone number is (325) 235-8641.

What is Shannon Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Shannon Clinic hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Shannon Clinic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Shannon Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Clinic was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.