DR. SHANNON GAMMILL BERRY M.D.
NPI 1770719668
Emergency Medicine in Coushatta, LA

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment
1635 MARVEL ST, COUSHATTA, LA 71019(318) 932-2000 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2016, Feb 16, 2016, Sep 28, 2015 (3 updates tracked since 2015).

About Dr. Shannon Gammill Berry M.d. NPPES

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

DR. SHANNON GAMMILL BERRY M.D. (NPI 1770719668) is an individual emergency medicine provider in Coushatta, Louisiana, licensed in Louisiana (208173) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Fort Walton-destin Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2009).

NPPES Registry Identity

NPI1770719668
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHANNON GAMMILL BERRYCredential: M.D.
Location Address1635 MARVEL STCoushatta, LA 71019-9022
Mailing Address1635 Marvel StCoushatta, LA 71019-9022 · (318) 932-2000
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2009
Enumeration DateJune 5, 2009
Last NPPES UpdateOctober 25, 20163 updates tracked since enumeration
NPI 1770719668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in LA · 208173
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License P1727 (TX)
1635 MARVEL ST, Coushatta, LA 71019

Other Names 1

Former Name (1)Shannon Gammill Smith P.a.

Other Identifiers 3

OtherP01575286LA · Railroad Medicare Ptan
Medicare PIN443689YWM2LA
Medicaid2400894LA

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

Dr. Shannon Gammill Berry M.d. 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 ID1153477914
PECOS Enrollment IDI20210820000385
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
152 services145 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
72 services69 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71019 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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 18

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

Physician Assistant (Medical)
1635 MARVEL ST
COUSHATTA, LA 71019
Nurse Practitioner (Psychiatric/Mental Health)
1635 MARVEL ST
COUSHATTA, LA 71019
Physician Assistant (Medical)
1635 MARVEL ST
COUSHATTA, LA 71019
Nurse Practitioner (Family)
1635 MARVEL ST
COUSHATTA, LA 71019
General Acute Care Hospital (Critical Access)
1635 MARVEL ST
COUSHATTA, LA 71019
Family Medicine
1635 MARVEL ST
COUSHATTA, LA 71019
Nurse Practitioner (Family)
1635 MARVEL ST
COUSHATTA, LA 71019
Emergency Medicine
1635 MARVEL ST
COUSHATTA, LA 71019

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 Berry's NPI number?

The NPI number for Shannon Berry is 1770719668. It was assigned to this individual provider in the NPPES registry on June 5, 2009. The provider is also known as Shannon Gammill Smith P.A..

Where is Shannon Berry located?

Shannon Berry practices at 1635 Marvel St, Coushatta, LA 71019. The listed phone number is (318) 932-2000.

What is Shannon Berry's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shannon Berry enrolled in Medicare?

Yes. Shannon Berry 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 Shannon Berry accept?

Health plans from CHRISTUS Health Plan, HMO Louisiana, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Shannon Berry 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.

Is Shannon Berry affiliated with any hospitals?

According to CMS data, Shannon Berry is affiliated with Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Berry was last updated on October 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.