MRS. SHANNON DAVIDSON LCSW
NPI 1235839820
Social Worker - Clinical in Hiram, GA

Active since March 03, 2023PECOS Enrolled
126 ENTERPRISE PATH STE 201, HIRAM, GA 30141(678) 682-0405 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Shannon Davidson Lcsw NPPES

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

MRS. SHANNON DAVIDSON LCSW (NPI 1235839820) is an individual clinical provider in Hiram, Georgia, licensed in Georgia (CSW008497) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235839820
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANNON DAVIDSONCredential: LCSW
Location Address126 ENTERPRISE PATH STE 201Hiram, GA 30141-2654
Mailing Address67 Trace Chain CtHiram, GA 30141-3919 · (678) 682-0405
Sole ProprietorNo
Enumeration DateMarch 3, 2023
NPPES CertifiedMarch 3, 2023
✔ NPI 1235839820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW008497
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
126 ENTERPRISE PATH STE 201, Hiram, GA 30141

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Davidson Lcsw 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 Reassignment

Medicare enrollment records show Shannon Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group

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 30141 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
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 5

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

Counselor (Professional)
126 ENTERPRISE PATH STE 201
HIRAM, GA 30141
Counselor (Professional)
126 ENTERPRISE PATH STE 201
HIRAM, GA 30141
Counselor (Professional)
126 ENTERPRISE PATH STE 201
HIRAM, GA 30141
Counselor (Professional)
126 ENTERPRISE PATH STE 201
HIRAM, GA 30141
Counselor (Mental Health)
126 ENTERPRISE PATH STE 201
HIRAM, GA 30141

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 Davidson's NPI number?

The NPI number for Shannon Davidson is 1235839820. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Where is Shannon Davidson located?

Shannon Davidson practices at 126 Enterprise Path Ste 201, Hiram, GA 30141. The listed phone number is (678) 682-0405.

What is Shannon Davidson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Davidson enrolled in Medicare?

Yes. Shannon Davidson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Davidson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Davidson accept?

Health plans from Oscar Health and UnitedHealthcare list Shannon Davidson 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 Davidson was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.