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MRS. SHANNON ETHERIDGE WHITTEN M.S.,NP-C, APRN,BC,
NPI 1508045840
Nurse Practitioner - Family in Sandersville, GA

Active since November 02, 2007PECOS Enrolled
616 FERNCREST DR, SANDERSVILLE, GA 31082(478) 864-3448(478) 864-1288 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shannon Etheridge Whitten M.s.,np-c, Aprn,bc, NPPES

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

MRS. SHANNON ETHERIDGE WHITTEN M.S.,NP-C, APRN,BC, (NPI 1508045840) is an individual family provider in Sandersville, Georgia, licensed in Georgia (R117082) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508045840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON ETHERIDGE WHITTENCredential: M.S.,NP-C, APRN,BC,
Location Address616 FERNCREST DRSandersville, GA 31082-1863
Mailing Address616 Ferncrest DrSandersville, GA 31082-1863 · (478) 864-3448 · Fax (478) 864-1288
Phone(478) 864-3448
Fax(478) 864-1288
Sole ProprietorNo
Enumeration DateNovember 2, 2007
Last NPPES UpdateDecember 1, 2010
✔ NPI 1508045840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · R117082
616 FERNCREST DR, Sandersville, GA 31082
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Etheridge Whitten M.s.,np-c, Aprn,bc, 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 31082 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 4

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

NORA MARIE HALL NP
Nurse Practitioner
616 FERNCREST DR
SANDERSVILLE, GA 31082
Washington County (478) 864-3448
JAMES EDSEL CRAFT II DC
Chiropractor
616 FERNCREST DR
SANDERSVILLE, GA 31082
Washington County (478) 552-1620
MRS. SHALU R TAYLOR WHNP
Nurse Practitioner (Women's Health)
616 FERNCREST DR
SANDERSVILLE, GA 31082
Washington County (478) 553-1620
COMMUNITY HEALTH CARE SYSTEMS INC,
Clinic/Center (Federally Qualified Health Center (FQHC))
616 FERNCREST DR
SANDERSVILLE, GA 31082
Washington County (478) 552-1620

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 Whitten's NPI number?

The NPI number for Shannon Whitten is 1508045840. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Where is Shannon Whitten located?

Shannon Whitten practices at 616 Ferncrest Dr, Sandersville, GA 31082. The listed phone number is (478) 864-3448.

What is Shannon Whitten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Whitten enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Whitten was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.