SHANNON CLINIC
NPI 1093051401
Clinic/Center - Rural Health in Sweetwater, TX
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 3 active CLIA laboratory certificates and lists Gary Gibian, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
662Medicare enrollment records show 662 clinicians reassign Medicare billing to Shannon Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 51
Nearest to this location (20)
See all 662Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 of Waiver 45D0697089
Shannon Clinic · San Angelo, TXCertificate of Waiver 45D1050239
Shannon Clinic Baptist Memorial Campus · San Angelo, TXCertificate of Waiver 45D2094034
Shannon Clinic - Urgent Care West · San Angelo, TXFrequently 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.
Is Shannon Clinic enrolled in Medicare?
Yes. Shannon Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shannon Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 662 clinicians in 51 Medicare specialties reassign their Medicare billing to Shannon Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (121), Diagnostic Radiology (76) and Internal Medicine (55). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shannon Clinic hold CLIA laboratory certificates?
Yes. 3 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.
# Shannon Clinic · NPI 1093051401
Rural Health organization in Sweetwater, Texas. Organization record, active in the CMS NPPES registry since December 13, 2012.
## Identity
- **NPI:** 1093051401 (Entity type: Organization)
- **Enumerated:** December 13, 2012
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Gary Gibian, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 201 E ARIZONA AVE, Sweetwater, TX 79556-7119
- **Phone:** (325) 235-8641 · **Fax:** (325) 235-5925
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 662 clinicians in 51 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (121), Diagnostic Radiology (76), Internal Medicine (55); [full list](https://npiprofile.com/npi/1093051401/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2012
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093051401) · Data from the CMS NPPES public registry.