MITSUKO P. SHANNON MD
NPI 1689694374
Psychiatry & Neurology - Psychiatry in Kings Mountain, NC

Q: What is Mitsuko Shannon's NPI number?

The NPI number for Mitsuko Shannon is 1689694374. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Mitsuko Shannon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mitsuko Shannon was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

706 W KING ST, KINGS MOUNTAIN, NC 28086(980) 487-5470 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 56 more (59 updates tracked since 2016).

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About Mitsuko P. Shannon Md NPPES

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

MITSUKO P. SHANNON MD (NPI 1689694374) is an individual psychiatry provider in Kings Mountain, North Carolina, licensed in North Carolina (9300804) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689694374

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMITSUKO P. SHANNONCredential: MD

Location Address706 W KING STKings Mountain, NC 28086-2708

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(980) 487-5470

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1988

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 15, 202459 updates tracked since enumeration

NPPES CertifiedApril 8, 2022

✔ NPI 1689694374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 9300804

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 9300804 (NC)

706 W KING ST, Kings Mountain, NC 28086

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Secondary Practice Locations 3

Location 116740 Davidson Concord RdDavidson, NC 28036-8746 · Phone (704) 444-2400

Location 2501 Billingsley Rd, Ste BCharlotte, NC 28211-1009 · Phone (704) 444-2400

Location 35427 Nc Highway 49 S, Ste 105Harrisburg, NC 28075-7408 · Phone (704) 454-7268

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Mitsuko P. Shannon 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 ID446384564

PECOS Enrollment IDI20100811000654

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

Medicare enrollment records show Mitsuko Shannon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Charlotte-Mecklenburg Hospital Authority

1.6 mi

Nurse Anesthetist, Certified Registered

706 W KING ST
Kings Mountain, NC 28086

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1790182608 (980) 487-7436

Carolinas Medical Center

27 mi

Family Medicine

1801 ROZZELLES FERRY RD
Charlotte, NC 28208

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1063567428 (704) 446-9987

Health Services Of Central Georgia, Inc

212 mi

Multi-Specialty

777 HEMLOCK ST
Macon, GA 31201

Reassigned Medicare billing, Georgia and North Carolina enrollments
483 clinicians in this Medicare group

NPI 1184679482 (478) 633-6713

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 6

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.

35 services18 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.

28 services28 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

20 services15 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.

19 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340021

Location201 E Grover StShelby, NC 28150 · Cleveland County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28086 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 20

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

MARVIN COTTEN PA

Physician Assistant