SHANNON TERESA WILLIS MD
NPI 1487971263
Hospitalist in Lawrenceville, GA
About Shannon Teresa Willis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON TERESA WILLIS MD (NPI 1487971263) is an individual hospitalist provider in Lawrenceville, Georgia, licensed in Georgia (075178) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon Teresa Willis Md 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.
Medicare Billing Reassignments
9Medicare enrollment records show Shannon Willis reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Gwinnett Hospital System, Inc.
- 98 clinicians in this Medicare group
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 275 clinicians in this Medicare group
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Fitzgerald, GA 31750
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
Prestonsburg, KY 41653
- Reassigned Medicare billing, Kentucky enrollment
- 531 clinicians in this Medicare group
Frenchburg, KY 40322
- Reassigned Medicare billing, Kentucky enrollment
- 296 clinicians in this Medicare group
Biddeford, ME 04005
- Reassigned Medicare billing, Maine enrollment
- 3,140 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters' Medical Center
Acute Care Hospitals · Ashland, KYThree Rivers Medical Center
Acute Care Hospitals · Louisa, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Willis's NPI number?
The NPI number for Shannon Willis is 1487971263. It was assigned to this individual provider in the NPPES registry on May 3, 2010.
Where is Shannon Willis located?
Shannon Willis practices at 1000 Medical Center Blvd Ground Floor Gme Office, Lawrenceville, GA 30046. The listed phone number is (706) 593-1389.
What is Shannon Willis's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Shannon Willis enrolled in Medicare?
Yes. Shannon Willis 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.
Which organizations bill Medicare for Shannon Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Willis reassigns Medicare benefits to 9 organizations: Northside Hospital, Inc. (Lawrenceville, GA), Gwinnett Physician Group, LLC (Lawrenceville, GA), The Southeast Permanente Medical Group (Atlanta, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Cogent Healthcare Of Georgia PC (Macon, GA) and 4 more organizations, listed in the Medicare section above. Each 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 Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Willis accept?
Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, CareSource and Oscar Health list Shannon Willis 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.
Is Shannon Willis affiliated with any hospitals?
According to CMS data, Shannon Willis is affiliated with King's Daughters' Medical Center and Three Rivers Medical Center.
When was this NPI record last updated?
The NPPES record for Shannon Willis was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Shannon Teresa Willis, MD · NPI 1487971263
Hospitalist physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since May 3, 2010.
## Identity
- **NPI:** 1487971263 (Entity type: Individual)
- **Enumerated:** May 3, 2010
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 075178 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, GROUND FLOOR GME OFFICE, Lawrenceville, GA 30046-7694
- **Phone:** (706) 593-1389
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Northside Hospital, Inc. (NPI 1952340994, Lawrenceville, GA); Gwinnett Physician Group, LLC (NPI 1578574661, Lawrenceville, GA); The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1487971263) · Data from the CMS NPPES public registry.