1. Home
  2. Directory
  3. Georgia
  4. Savannah
  5. Preventive Medicine
  6. NPI Profile

DR. SHANNON BOLLING ELLIS D.O.
NPI 1295706166
Preventive Medicine - Public Health & General Preventive Medicine in Savannah, GA

Active since January 30, 2006PECOS Enrolled
400 MALL BLVD STE G, SAVANNAH, GA 31406(912) 644-5200(912) 349-5691 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2021, Feb 27, 2017 (2 updates tracked since 2017).

About Dr. Shannon Bolling Ellis D.o. NPPES

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

DR. SHANNON BOLLING ELLIS D.O. (NPI 1295706166) is an individual public health & general preventive medicine provider in Savannah, Georgia, licensed in Georgia (073702) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295706166
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NameDR. SHANNON BOLLING ELLISCredential: D.O.
Location Address400 MALL BLVD STE GSavannah, GA 31406-4820
Mailing Address815 Oak Landing RdJesup, GA 31546-1518 · (912) 424-2925
Phone(912) 644-5200
Fax(912) 349-5691
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1295706166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in GA · 073702
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
400 MALL BLVD STE G, Savannah, GA 31406
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Bolling Ellis D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31406 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.

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 Ellis's NPI number?

The NPI number for Shannon Ellis is 1295706166. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Shannon Ellis located?

Shannon Ellis practices at 400 Mall Blvd Ste G, Savannah, GA 31406. The listed phone number is (912) 644-5200.

What is Shannon Ellis's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Shannon Ellis enrolled in Medicare?

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

What insurance does Shannon Ellis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shannon Ellis 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 Ellis was last updated on January 25, 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.