Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON ZONYA WRIGHT GORDON RPAC
NPI 1265674014
Physician Assistant in Atlanta, GA

Q: What is Shannon Wright Gordon's NPI number?

The NPI number for Shannon Wright Gordon is 1265674014. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Q: What is Shannon Wright Gordon's specialty?

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

Active since March 25, 2009PECOS Enrolled

3350 RIVERWOOD PKWY SE STE 1900, ATLANTA, GA 30339(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 31, 2026, Mar 3, 2026 (2 updates tracked since 2026).

On this page

About Shannon Zonya Wright Gordon Rpac NPPES

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

SHANNON ZONYA WRIGHT GORDON RPAC (NPI 1265674014) is an individual physician assistant in Atlanta, Georgia, licensed in New York (013048) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265674014

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNON ZONYA WRIGHT GORDONCredential: RPAC

Location Address3350 RIVERWOOD PKWY SE STE 1900Atlanta, GA 30339-2066

Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273

Phone(855) 212-2273

Fax(629) 240-6003

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 25, 2009

Last NPPES UpdateOctober 31, 20262 updates tracked since enumeration

NPPES CertifiedOctober 31, 2026

✔ NPI 1265674014 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 NY · 013048✔ Licensed in WI · 8713-23✔ Licensed in RI · PA01877✔ Licensed in MA · PA95279✔ Licensed in NH · 3601✔ Licensed in UT · 14252720-1206✔ Licensed in GA · 13601✔ Licensed in FL · PA9121461✔ Licensed in CO · PA0009678✔ Licensed in WA · PA70062341

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.

3350 RIVERWOOD PKWY SE STE 1900, Atlanta, GA 30339

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1259 1st StMineola, NY 11501-3957 · Phone (516) 663-8312

Location 2475 Kilvert StWarwick, RI 02886-1379 · Phone (919) 172-8471

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Zonya Wright Gordon Rpac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971788829

PECOS Enrollment IDI20260727004134

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

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 20

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

DR. KSHAWNDA FRAZIER DNP, FNP-BC

Nurse Practitioner (Family)