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SHANNAN RODDY DO
NPI 1720548951
General Practice in Pensacola, FL

Active since March 22, 2019PECOS Enrolled
340 HULSE RD, PENSACOLA, FL 32508(850) 452-2933 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2023, Jun 8, 2020, Mar 22, 2019 (3 updates tracked since 2019).

About Shannan Roddy Do NPPES

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

SHANNAN RODDY DO (NPI 1720548951) is an individual general practice provider in Pensacola, Florida, licensed in Virginia (0101276252) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720548951
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSHANNAN RODDYCredential: DO
Location Address340 HULSE RDPensacola, FL 32508-1089
Mailing Address340 Hulse RdPensacola, FL 32508-1089 · (850) 452-2933
Phone(850) 452-2933
Sole ProprietorNo
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 1, 20233 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1720548951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101276252
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
340 HULSE RD, Pensacola, FL 32508
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannan Roddy Do 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.

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.

DR. PATRICK TERREL BIRCHFIELD DO, MPH
Preventive Medicine (Aerospace Medicine)
340 HULSE RD
PENSACOLA, FL 32508
Escambia County (850) 452-3154
DR. NATHANIEL BRIAN ALMOND M.D., M.P.H.
Preventive Medicine (Aerospace Medicine)
340 HULSE RD
PENSACOLA, FL 32508
Escambia County (850) 452-2258
DR. DANIEL RICHARD JUBA MD
Internal Medicine
340 HULSE RD, INTERNAL MEDICINE CODE 324
PENSACOLA, FL 32508
Escambia County (850) 452-2257
JOHN PATERNO ALBANO MD
Preventive Medicine (Aerospace Medicine)
340 HULSE RD
PENSACOLA, FL 32508
Escambia County (850) 452-3872
DR. JOHN ANTHONY SMYRSKI III MD
Preventive Medicine (Aerospace Medicine)
340 HULSE RD
PENSACOLA, FL 32508
Escambia County (850) 452-3154
ANNA HEANEY STALCUP OD
Optometrist
340 HULSE RD
PENSACOLA, FL 32508
Escambia County (850) 452-2257
DR. TERRACE WAGGONER O.D.
Optometrist
340 HULSE RD
PENSACOLA, FL 32508
Escambia County (850) 505-6254
DR. C CHRISTOPHER SCHULTHEISS D.O., M.P.H., M.B.A.
Psychiatry & Neurology (Psychiatry)
340 HULSE RD
PENSACOLA, FL 32508
Escambia County (850) 452-2783

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 Shannan Roddy's NPI number?

The NPI number for Shannan Roddy is 1720548951. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Shannan Roddy located?

Shannan Roddy practices at 340 Hulse Rd, Pensacola, FL 32508. The listed phone number is (850) 452-2933.

What is Shannan Roddy's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shannan Roddy enrolled in Medicare?

Yes. Shannan Roddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannan Roddy was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.