MRS. ALVINA C SHANNON PA-C
NPI 1720244957
Physician Assistant - Medical in Ellenwood, GA

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
4475 W VILLAGE PKWY, ELLENWOOD, GA 30294(770) 507-7950 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Alvina C Shannon Pa-c NPPES

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

MRS. ALVINA C SHANNON PA-C (NPI 1720244957) is an individual medical provider in Ellenwood, Georgia, licensed in Georgia (002735) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1995).

NPPES Registry Identity

NPI1720244957
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ALVINA C SHANNONCredential: PA-C
Location Address4475 W VILLAGE PKWYEllenwood, GA 30294-2869
Mailing Address4228 Park Place CirEllenwood, GA 30294-1550 · (404) 403-9793
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1995
Enumeration DateAugust 7, 2008
Last NPPES UpdateDecember 17, 2019
NPI 1720244957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 002735
4475 W VILLAGE PKWY, Ellenwood, GA 30294

Accepted 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

Mrs. Alvina C Shannon Pa-c 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 ID1052445376
PECOS Enrollment IDI20100823000043
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 14

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
240 services24 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
104 services50 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.
60 services55 patients
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.
57 services56 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
44 services35 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
39 services37 patients

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Physician Assistant
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Non-Pharmacy Dispensing Site
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Nurse Practitioner
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294

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 Alvina Shannon's NPI number?

The NPI number for Alvina Shannon is 1720244957. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Alvina Shannon located?

Alvina Shannon practices at 4475 W Village Pkwy, Ellenwood, GA 30294. The listed phone number is (770) 507-7950.

What is Alvina Shannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alvina Shannon enrolled in Medicare?

Yes. Alvina Shannon 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.

What insurance does Alvina Shannon accept?

Health plans from Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Alvina Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alvina Shannon was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.