DR. SHANNON K. DUNLAP PHD
NPI 1194950857
Psychologist - Clinical in Lagrange, GA

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
610 RIDLEY AVE, LAGRANGE, GA 30240(706) 884-5050(706) 884-5056 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon K. Dunlap Phd NPPES

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

DR. SHANNON K. DUNLAP PHD (NPI 1194950857) is an individual clinical provider in Lagrange, Georgia, licensed in Georgia (PSY003497) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194950857
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANNON K. DUNLAPCredential: PHD
Location Address610 RIDLEY AVELagrange, GA 30240-2236
Mailing Address610 Ridley AveLagrange, GA 30240-2236 · (706) 884-5050 · Fax (706) 884-5056
Fax(706) 884-5056
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 26, 2009
Last NPPES UpdateFebruary 3, 2016
NPI 1194950857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · PSY003497
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 202201 (GA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC004718 (GA)
610 RIDLEY AVE, Lagrange, GA 30240

Other Identifiers 1

Medicare UPIN202G682008GA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon K. Dunlap Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254555444
PECOS Enrollment IDI20140609001710
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
402 services28 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 8

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

Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Psychologist (Clinical)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Psychologist (Clinical)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240

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 Dunlap's NPI number?

The NPI number for Shannon Dunlap is 1194950857. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Shannon Dunlap located?

Shannon Dunlap practices at 610 Ridley Ave, Lagrange, GA 30240. The listed phone number is (706) 884-5050.

What is Shannon Dunlap's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shannon Dunlap enrolled in Medicare?

Yes. Shannon Dunlap is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Dunlap accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Shannon Dunlap 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 Dunlap was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.