DR. SHANNON R GINNAN M.D.
NPI 1487839080
General Practice in Vienna, VA

Active since January 02, 2008PECOS Enrolled
1934 OLD GALLOWS RD, SUITE 500, VIENNA, VA 22182(703) 677-3200(703) 677-3201 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shannon R Ginnan M.d. NPPES

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

DR. SHANNON R GINNAN M.D. (NPI 1487839080) is an individual general practice provider in Vienna, Virginia, licensed in Virginia (0101231928) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487839080
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SHANNON R GINNANCredential: M.D.
Location Address1934 OLD GALLOWS RD, SUITE 500Vienna, VA 22182-4042
Mailing Address1934 Old Gallows Rd, Suite 500Vienna, VA 22182-4042 · (703) 677-3200 · Fax (703) 677-3201
Fax(703) 677-3201
Sole ProprietorNo
Enumeration DateJanuary 2, 2008
Last NPPES UpdateSeptember 27, 2013
NPI 1487839080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101231928
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1934 OLD GALLOWS RD, Vienna, VA 22182

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 R Ginnan M.d. 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.

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.

Home Health
1934 OLD GALLOWS RD, SUITE 350
VIENNA, VA 22182
Internal Medicine
1934 OLD GALLOWS RD, SUITE 350
VIENNA, VA 22182
Internal Medicine
1934 OLD GALLOWS RD, SUITE 350
VIENNA, VA 22182
Home Health
1934 OLD GALLOWS RD, SUITE # 350
VIENNA, VA 22182
Registered Nurse
1934 OLD GALLOWS RD, #350
VIENNA, VA 22182
Home Health
1934 OLD GALLOWS RD, SUITE 350
TYSONS CORNER, VA 22182
Psychologist (Clinical)
1934 OLD GALLOWS RD, 350
VIENNA, VA 22182
Counselor (Professional)
1934 OLD GALLOWS RD
VIENNA, VA 22182

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 Ginnan's NPI number?

The NPI number for Shannon Ginnan is 1487839080. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Shannon Ginnan located?

Shannon Ginnan practices at 1934 Old Gallows Rd Suite 500, Vienna, VA 22182. The listed phone number is (703) 677-3200.

What is Shannon Ginnan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shannon Ginnan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Ginnan was last updated on September 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.