MRS. SHANNON A KELLER
NPI 1952521650
Counselor - Professional in Tucker, GA
About Mrs. Shannon A Keller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON A KELLER (NPI 1952521650) is an individual professional provider in Tucker, Georgia and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Shannon A Keller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCKER, GA 30084
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 Keller's NPI number?
The NPI number for Shannon Keller is 1952521650. It was assigned to this individual provider in the NPPES registry on April 26, 2007.
Where is Shannon Keller located?
Shannon Keller practices at 4823 N Royal Atlanta Dr Suite C, Tucker, GA 30084. The listed phone number is (770) 939-2121.
What is Shannon Keller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shannon Keller enrolled in Medicare?
Yes. Shannon Keller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Keller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Keller reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Keller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Shannon A Keller · NPI 1952521650
Professional provider in Tucker, Georgia. Individual provider, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1952521650 (Entity type: Individual)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 4823 N ROYAL ATLANTA DR, SUITE C, Tucker, GA 30084-3806
- **Phone:** (770) 939-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1952521650) · Data from the CMS NPPES public registry.