DR. AMANDANELL MCKINLEY SHOOK-CHACON MD
NPI 1912684259
Internal Medicine in Valdosta, GA

Q: What is Amandanell Shook-chacon's NPI number?

The NPI number for Amandanell Shook-chacon is 1912684259. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Q: What is Amandanell Shook-chacon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 29, 2023PECOS Enrolled

2501 N PATTERSON ST, VALDOSTA, GA 31602(229) 433-1000 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Dr. Amandanell Mckinley Shook-chacon Md NPPES

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

DR. AMANDANELL MCKINLEY SHOOK-CHACON MD (NPI 1912684259) is an individual internal medicine provider in Valdosta, Georgia, licensed in Georgia (111293) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912684259

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. AMANDANELL MCKINLEY SHOOK-CHACONCredential: MD

Location Address2501 N PATTERSON STValdosta, GA 31602-1785

Mailing Address2501 N Patterson StValdosta, GA 31602-1785 · (229) 433-1000

Phone(229) 433-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 29, 2023

Last NPPES UpdateMarch 28, 2026

NPPES CertifiedMarch 28, 2026

✔ NPI 1912684259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 111293

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2501 N PATTERSON ST, Valdosta, GA 31602

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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)

Dr. Amandanell Mckinley Shook-chacon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133685142

PECOS Enrollment IDI20260730000801

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.

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110122

Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

JOHN STEPHEN DODD NP

Nurse Practitioner (Acute Care)