SHANNON TERESA WILLIS MD
NPI 1487971263
Hospitalist in Lawrenceville, GA

Q: 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.

Q: What is Shannon Willis's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: 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 13 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.

Active since May 03, 2010PECOS EnrolledAccepts Medicare Assignment

1000 MEDICAL CENTER BLVD, GROUND FLOOR GME OFFICE, LAWRENCEVILLE, GA 30046(706) 593-1389 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, Jan 7, 2022, May 19, 2017 and 1 more (4 updates tracked since 2016).

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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

NPI1487971263

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameSHANNON TERESA WILLISCredential: MD

Location Address1000 MEDICAL CENTER BLVD, GROUND FLOOR GME OFFICELawrenceville, GA 30046-7694

Mailing Address1000 Medical Center Blvd, Ground Floor Gme OfficeLawrenceville, GA 30046-7694 · (706) 593-1389

Phone(706) 593-1389

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2010

Enumeration DateMay 3, 2010

Last NPPES UpdateJune 12, 20254 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1487971263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in GA · 075178✔ Licensed in ME · MD29422

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 075178 (GA), MD29422 (ME)

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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Secondary Practice Locations 3

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-4618 · Fax (207) 662-6254

Location 225 June StSanford, ME 04073-2621 · Phone (207) 324-4310

Location 31 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7937 · Fax (207) 283-7018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Buckeye Health Plan, Ambetter from Meridian 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 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.

PECOS PAC ID6709027436

PECOS Enrollment IDI20160204002026, I20170920003232

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

82 services29 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

54 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Hospital Affiliations CMS Care Compare 3

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, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180128

Location2485 Highway 644Louisa, KY 41230 · Lawrence County

Emergency services

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician 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.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%165 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. ROBERT E BLACK III MD

Anesthesiology