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DR. SHANNON M DAWSON-RICHARDSON MD
NPI 1194796250
Pediatrics in Woodbridge, VA

Active since January 27, 2006PECOS Enrolled
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192(703) 490-8400(703) 490-7635 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2021, Jun 24, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Dr. Shannon M Dawson-richardson Md NPPES

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

DR. SHANNON M DAWSON-RICHARDSON MD (NPI 1194796250) is an individual pediatrics provider in Woodbridge, Virginia, licensed in California (A83288) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194796250
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHANNON M DAWSON-RICHARDSONCredential: MD
Location Address14139 POTOMAC MILLS RDWoodbridge, VA 22192-4644
Mailing Address8348 Argent CirFairfax Station, VA 22039-3104
Phone(703) 490-8400
Fax(703) 490-7635
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 28, 20213 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1194796250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A83288
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14139 POTOMAC MILLS RD, Woodbridge, VA 22192
Open in Google Maps ↗

Other Identifiers 1

OtherA83288CA · Md License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon M Dawson-richardson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Dawson-richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
1.5 mi
Health Maintenance Organization
13285 MINNIEVILLE ROAD
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia enrollment
  • 995 clinicians in this Medicare group
NPI 1972275196 (301) 816-2424
Southern California Permanente Medical Group
2,256 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SOWJANYA BHAGAVATULA M.D
Internal Medicine
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Prince William County (703) 490-8400
AZKA SOPHIE M.D.
Pediatrics
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Prince William County (703) 490-8400
ELENA SHORT
Internal Medicine
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Prince William County (703) 359-7878
DR. JOHN D LONG JR. MD
Obstetrics & Gynecology
14139 POTOMAC MILLS RD, KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER
WOODBRIDGE, VA 22192
Prince William County (703) 490-8400
KRYSTEL NASR
Pharmacist (Ambulatory Care)
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Prince William County (703) 490-8400
ERICA LARAE WYNN M.D.
Pediatrics
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Prince William County (703) 490-7740
MARGARET S. JONES RD
Dietitian, Registered
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Prince William County (703) 490-7797
DR. OBINNA EZEKWE PHARM.D
Pharmacist
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Prince William County (703) 490-8400

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 Dawson-richardson's NPI number?

The NPI number for Shannon Dawson-richardson is 1194796250. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Shannon Dawson-richardson located?

Shannon Dawson-richardson practices at 14139 Potomac Mills Rd, Woodbridge, VA 22192. The listed phone number is (703) 490-8400.

What is Shannon Dawson-richardson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Dawson-richardson enrolled in Medicare?

Yes. Shannon Dawson-richardson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Dawson-richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Dawson-richardson reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Woodbridge, VA) and Southern California Permanente Medical Group (San Diego, CA). Each 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 Shannon Dawson-richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Dawson-richardson was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.