SHANNON S. GULLE PA
NPI 1265459010
Physician Assistant in Savannah, GA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
210 E DERENNE AVE, SAVANNAH, GA 31405(912) 644-5300(912) 644-5260 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon S. Gulle Pa NPPES

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

SHANNON S. GULLE PA (NPI 1265459010) is an individual physician assistant in Savannah, Georgia, licensed in Georgia (004842) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1265459010
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON S. GULLECredential: PA
Location Address210 E DERENNE AVESavannah, GA 31405-6736
Mailing Address210 E Derenne AvenueSavannah, GA 31405 · (912) 644-5300 · Fax (912) 644-5260
Fax(912) 644-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 23, 2013
NPI 1265459010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 004842 Licensed in FL · PA 9104234
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
210 E DERENNE AVE, Savannah, GA 31405

Other Identifiers 4

Medicare UPINQ70242GA
Medicaid889219382AGA
Other52207283-001GA · Bcbs
Medicare ID-Type Unspecified97WCHSCGA

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

Shannon S. Gulle Pa 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 ID2567465818
PECOS Enrollment IDI20060807000317, I20111212000268
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 18

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
4,352 services57 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,042 services182 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
367 services241 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
247 services232 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
233 services178 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
205 services175 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Anesthesiologist Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery (Sports Medicine)
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physical Therapist
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant (Medical)
210 E DERENNE AVE
SAVANNAH, GA 31405

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 Gulle's NPI number?

The NPI number for Shannon Gulle is 1265459010. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Shannon Gulle located?

Shannon Gulle practices at 210 E Derenne Ave, Savannah, GA 31405. The listed phone number is (912) 644-5300.

What is Shannon Gulle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Gulle enrolled in Medicare?

Yes. Shannon Gulle 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.

Is Shannon Gulle affiliated with any hospitals?

According to CMS data, Shannon Gulle is affiliated with Candler Hospital and St Joseph's Hospital - Savannah.

When was this NPI record last updated?

The NPPES record for Shannon Gulle was last updated on July 23, 2013. 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.