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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON NATANYA TATE PAC
NPI 1609827187
Physician Assistant in Woodstock, GA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
900 TOWNE LAKE PKWY STE 104, WOODSTOCK, GA 30189(770) 772-1830 Get Directions Write a Review

NPPES record last updated: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2026, Jul 9, 2026, Feb 21, 2023 and 1 more (4 updates tracked since 2021).

About Shannon Natanya Tate Pac NPPES

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

SHANNON NATANYA TATE PAC (NPI 1609827187) is an individual physician assistant in Woodstock, Georgia, licensed in Georgia (4324) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2008).

NPPES Registry Identity

NPI1609827187
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON NATANYA TATECredential: PAC
Location Address900 TOWNE LAKE PKWY STE 104Woodstock, GA 30189-1603
Mailing Address900 Towne Lake Pkwy Ste 104Woodstock, GA 30189-1603 · (770) 772-1830
Phone(770) 772-1830
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2008
Enumeration DateMay 12, 2006
Last NPPES UpdateOctober 3, 20264 updates tracked since enumeration
NPPES CertifiedOctober 3, 2026
✔ NPI 1609827187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in GA · 4324✔ Licensed in CA · 22283
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 TOWNE LAKE PKWY STE 104, Woodstock, GA 30189
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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 Natanya Tate Pac 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 ID2062516610
PECOS Enrollment IDI20121214000036
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Tate reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Em-I Medical Service Services PC
16 mi
Emergency Medicine
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
  • Physician assistant employed and billed by this organization, Georgia enrollment
  • Medicare enrollment name: Georgia Em-I Medical Services, LLC
  • 132 clinicians in this Medicare group
NPI 1407133622 (770) 382-1530
Gwinnett Emergency Specialists, LLC
31 mi
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Physician assistant employed and billed by this organization, Georgia enrollment
  • 138 clinicians in this Medicare group
NPI 1437346467 (954) 939-5000

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 2

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

TIFFANY STYLES NP
Nurse Practitioner (Family)
900 TOWNE LAKE PKWY STE 104
WOODSTOCK, GA 30189
Cherokee County (770) 772-1830
PHYSICIAN'S EXPRESS CARE AT TOWNE LAKE LLC
Clinic/Center (Urgent Care)
900 TOWNE LAKE PKWY STE 104
WOODSTOCK, GA 30189
Cherokee County (770) 772-1830

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 Tate's NPI number?

The NPI number for Shannon Tate is 1609827187. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Shannon Tate located?

Shannon Tate practices at 900 Towne Lake Pkwy Ste 104, Woodstock, GA 30189. The listed phone number is (770) 772-1830.

What is Shannon Tate's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Tate enrolled in Medicare?

Yes. Shannon Tate 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 Tate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Tate is a physician assistant employed by 2 organizations: Georgia Em-I Medical Service Services PC (Cartersville, GA) and Gwinnett Emergency Specialists, LLC (Lawrenceville, GA). Each organization bills Medicare and receives payment for Shannon Tate'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 Tate was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.