MRS. SHANNON LEIGH JERNIGAN OTR/L
NPI 1548595234
Occupational Therapist in Pooler, GA

Active since October 14, 2009
125 SOUTHERN JUNCTION BLVD, POOLER, GA 31322(912) 348-1910 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Shannon Leigh Jernigan Otr/l NPPES

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

MRS. SHANNON LEIGH JERNIGAN OTR/L (NPI 1548595234) is an individual occupational therapist in Pooler, Georgia, licensed in Georgia (006678) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1548595234
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. SHANNON LEIGH JERNIGANCredential: OTR/L
Location Address125 SOUTHERN JUNCTION BLVDPooler, GA 31322-2214
Mailing Address125 Southern Junction BlvdPooler, GA 31322-2214 · (912) 348-1910
Sole ProprietorYes
Enumeration DateOctober 14, 2009
Last NPPES UpdateDecember 15, 2024
NPPES CertifiedDecember 15, 2024
✔ NPI 1548595234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses✔ Licensed in GA · 006678✔ Licensed in NC · 7335✔ Licensed in CO · 0003298
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
125 SOUTHERN JUNCTION BLVD, Pooler, GA 31322

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Leigh Jernigan Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shannon Jernigan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
275 CARPENTER DR STE 104
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 8 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.

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
125 SOUTHERN JUNCTION BLVD, SUITE 701
POOLER, GA 31322
Physical Therapy Assistant
125 SOUTHERN JUNCTION BLVD
POOLER, GA 31322
Dentist (General Practice)
125 SOUTHERN JUNCTION BLVD, SUITE 701
POOLER, GA 31322
Physical Therapist
125 SOUTHERN JUNCTION BLVD
POOLER, GA 31322
Physical Therapist
125 SOUTHERN JUNCTION BLVD
POOLER, GA 31322

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 Jernigan's NPI number?

The NPI number for Shannon Jernigan is 1548595234. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Shannon Jernigan located?

Shannon Jernigan practices at 125 Southern Junction Blvd, Pooler, GA 31322. The listed phone number is (912) 348-1910.

What is Shannon Jernigan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Shannon Jernigan enrolled in Medicare?

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

Which organization bills Medicare for Shannon Jernigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Jernigan reassigns Medicare benefits to Thrive Therapy LLC (Atlanta, GA). The 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 Jernigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Jernigan was last updated on December 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.